BulletBall Extreme, also known as Professional BulletBall Extreme, is the 'sport'-based version of BulletBall and is intended for those participating in competitive tournaments. The rules of BulletBall Extreme are less restrictive then the game version, requiring fast hand-eye coordination and accuracy to get the ball past the opponent. While hands and arms cannot exceed the colored playing boundaries during the game version, they can pass the boundaries in the follow-thru of your hit, allowing for more physical activity.

The extreme game version has been described as 'human pinball with the skills of table tennis.' This results from a faster traveling plastic ball that is used for the extreme sport version Therefore, sports gear to protect eyes, arms, and hands is recommended.