I would say that I am a patient person (ok, for the sake of my review, let us say that I am a patient person). Emergency Mayhem tested my very homicidal tendencies as far as the music and sound went. It was like walking into a nursery full of little boys who all want to be cops, firemen, and ambulance drivers... and all the rowdy brats (say, five hundred or so) have about ten toy trucks each. Also, every button on each of the 5,000 cars are going off in unbalanced succession. My ears were bleeding at the end of my first mission to eliminate mayhem.
Like most games in its genre, Emergency Mayhem has repetitive music droning on in the background. However, this can be overlooked fairly easily. Not necessarily because the music is bearable, but because the woman over the loudspeaker from headquarters is a vile siren that feels the urge to badger you every half second. You would think the prat was married to you and expected you to be home by dinner, and was quite cross that you were going to be late. I'll be turned into a newt (and then get better again) if she didn't say the same three phrases for thirty minutes. I turned the sound off after that.
The graphics were to be expected from a game labeled Emergency Mayhem. They give you a headache if you play for more than thirty minutes. Actually, if you are over the age of seven, and you make it more than ten minutes... give me a call. I would like you to teach me your Jedi ways.