UK Truck Simulator is the same as German Truck Simulator when it comes to gameplay. The main difference is that the game is set in England which results in a different highway network and left-hand traffic. The cities are not faithfully recreated and consist of a few streets and buildings.

The game mostly consists of driving goods from one place in England to another, preferably in time and without damaging them. This improves the reputation which increases the difficulty and lucrativeness of the next assignments. When the player has earned enough money, it can be reinvested into an own truck (can be upgraded) and eventually even in founding an own forwarding agency. Then the player also has additional management aspects to take care of, e.g. hiring AI employees.

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