The editors of PC Gamer US nominated Midtown Madness for their 1999 Best Racing Game award, which ultimately went to Re-Volt. They wrote that Midtown Madness "lays down a racing milestone by creating a living, breathing 3D city — and then letting you trash it."[34] It was also a nominee for Computer Gaming World's Racing Game of the Year award, but lost to Need for Speed: High Stakes.[35]