As its name suggests, the level takes place in the highlands of N. Sanity Island. There are several barns in the level clearly inspired by the one seen in Farmer Ernest's Farm in Crash Twinsanity. The main gimmick of this level is the presence of powerful gusts of wind that can slow down the player or make certain platforming challenges more dangerous.
The Tiki M. appears again in this level, but this time multiple of them spawn in the same room, although not at the same time.
The level has many different sections with falling platforms, sometimes combined with the wind, making the platforming in this level extremely challenging.