The main sell of Midtown Madness is that it allows you to race through an incredibly accurate recreation of Chicago (complete with landmarks, pedestrians, and rush-hour traffic). Old-school PC gamers (really old!) who remember Spectrum Holobyte's Vette! (circa 1990, the game allowed a spirited drive through the streets of San Francisco), know that Midtown Madness isn't the first of its kind, but compared to many of today's driving games, it's a breath of fresh air.
According to ESRB, this game contains: Mild Animated Violence
Midtown Madness is a good racing game and this comes as a surprise because arcade-racing titles like this don't usually translate well on the PC. In "Cruise" mode, I got to drive anywhere and everywhere in the city of Chicago. Driving through heavy traffic is unlike anything else and the AI (though weak) offers a convincing city-traffic model.