The tank appears in the Battlefield 1942: The Road To Rome expansion as the Italian medium tank. It features two player positions, the driver, who drives the vehicle and utilizes its main gun, and the top gunner, who is armed with a heavy, powerful and accurate but slow-firing machine gun and is hidden and therefore immune to direct damage. Slow firing of that gun gives it a advantage of maintaining ammo much better, but it have a disadvantage of engaging multiple targets quickly.
Despite the advantage of this special machine gun position, the CA M11/39 has one big disadvantage; the main gun lacks a complete 360-degree turning arc, meaning it can not be targeted at enemies to the rear and even to the sides of the vehicle, making the tank extremely vulnerable to ambushing or flanking tanks and anti-tank soldiers. Apart from this, the driver lacks a coaxial machine gun, unlike other medium tanks.