Created using Adventure Game Studio, the game received praise from members of the AGS community. It was nominated for Best Game and Best Sound/Music in the 2003 AG: Underground Awards. The game was favorably reviewed by Dave Gilbert. Keptosh featured the Character Control System Plug-in by Scorpiorus which allowed non-player characters to move about the environment in what appeared to be their daily activities. Combined with the soundtrack and setting this made a rather simple game very immersive for some.