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.
Being located on an island, it has been prone to floods of the Ohio River (along with Wheeling Island and much of Ohio County, West Virginia).