Rutter's #20 Middletown is a convenience store location offering Video Gaming Terminals (VGTs) operated in partnership with Marquee by Penn, a subsidiary of Penn National Gaming. The facility provides five VGT machines in a designated gaming room for customers 21 years and older, with Pennsylvania gaming regulations setting a maximum bet of $5 and maximum payout of $1,000. Winnings are redeemed through on-site redemption machines. Rutter's operates the largest network of VGT locations across Pennsylvania following Act 42's legalization of video gaming terminals in 2017.