Pac-Pix sports some 2D graphics that, to me, are reminiscent of Yoshi’s Island. The style takes on a hand-drawn look, which perfectly fits the concept of the game. There really aren’t that many visual effects to speak of, however, but I didn’t expect that many to begin with. Since the entire concept of the game revolves around the player drawing Pac-Man themselves, there really is a lot of flexibility in the graphics. As far as your hand-drawn Pac-Man goes, he can look as clean or as silly as you draw him (as long as it is recognized). I was surprised at some of the shapes that I drew that were recognized as Pac-Man, since they hardly looked like anything recognizable.
The sound in Pac-Pix isn’t all that elaborate either. Most of the sound effects are just touched-up versions of the music from the old arcade machine. The music is original for the most part; there are different tracks for each chapter and special music for the bosses. The music isn’t anything that would be overly repetitive, and it definitely isn’t flashy. However, if you sit there and play the game enough (and you will, because some of the stages can be tough), you may find yourself humming along a bit.