Bear later revealed that the idea was fleshed out in the few minutes that the Microsoft Studios representative had left the table. During a moment while Twisted Pixel were alone in the meeting they noticed a painting of an Old West-styled skeleton and decided to use it as a theme for their character. The idea was created during a meeting between Twisted Pixel and publisher Microsoft Studios. The character was designed by Josh Bear, President of Twisted Pixel Games.

The video shoot took place at The Paramount Theatre in the developer's location of Austin, Texas. Prior to the announcement developers Twisted Pixel Games shot live action footage to integrate with the game. A trailer showcasing elements of gameplay was released at that time. The game was first announced February 1, 2011. The game is broken up into four different areas or acts, each one based around a member of the Gunstringer's former gang: the desert controlled by the Oil Baron, the bayou being cleared up and settled by the Brothel Madame, the valley being influenced by the Beard Master, and the wasteland and underworld ruled by the Lady of the Dead. The game begins as he rises from his grave, bent on revenge. The setting of the play revolves around a character known simply as The Gunstringer, an undead marionette sheriff betrayed by his posse. It begins with live-action footage in a theater (The Paramount Theater in Austin, TX) where people have attended to see the show. The game is played as though it were acted out on a theatre stage. The Gunstringer is set as a play that takes place in the Old West, with some modern and fantasy aspects. Certain moments in the game are presented as a rail shooter and allow the player to use both hands to control two guns while the character moves along a pre-defined path. Players can mark multiple enemies to fire on and once the player makes a firing gesture all marked enemies are shot by the character. The player controls the character's movement with their left hand, while the right is used to aim and fire the character's gun. The Gunstringer is a Kinect title which makes use of the player's body to control the game rather than a gamepad. One hand is held as though controlling a marionette while the other is used for aiming and firing the character's weapon. Players use Kinect to control the protagonist.

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