Pickaxe King Island is a pixel art healing tycoon game where players create and expand their kingdoms using a pickaxe. Players begin by collecting wood to earn gold, which allows them to buy land and chickens, fostering egg production alongside crop cultivation. Harvested ingredients can be transformed into recipes through cooking. As players unlock new regions, they can venture into dungeons with the Fox Knight to gather rare items. Enhancements such as item cards and pickaxe upgrades improve efficiency, offering a leisurely gaming experience while developing the kingdom at a personalized pace.