It features slot machines, which are marketed under the term "video lottery" in West Virginia; live greyhound racing, and off-track betting for both greyhound and horse racing. In addition, a full complement of table games including poker, blackjack, craps, and roulette were recently added. Poker was added on October 19, 2007, and the other games on December 20, 2007 as a result of Ohio County voters approving a referendum in a June 9, 2007 special election.
Wheeling Island features several restaurants and food operations as well.
The facility has a "tropical" theme, similar to that used by the Treasure Island Hotel and Casino in Las Vegas, but is unrelated. Its logo features a palm tree and tropical colors, although Wheeling Island is a residential part of the city and located far from the tropics.