Block-based programming environments such as Scratch are increasingly popular in programming education, in particular for young learners. While the use of blocks helps prevent syntax errors, semantic bugs remain common and difficult to debug. Existing tools for Scratch debugging rely heavily on predefined rules or user manual inputs, and crucially, they ignore the platform's inherently visual nature. We introduce ViScratch, the first multimodal feedback generation system for Scratch that leverages both the project's block code and its generated gameplay video to diagnose and repair bugs. ViScratch uses a two-stage pipeline: a vision-language model first aligns visual symptoms with code structure to identify a single critical issue, then proposes minimal, abstract syntax tree level repairs that are verified via execution in the Scratch virtual machine. We evaluate ViScratch on a set of real-world Scratch projects against state-of-the-art LLM-based tools and human testers. Results show that gameplay video is a crucial debugging signal: ViScratch substantially outperforms prior tools in both bug identification and repair quality, even without access to project descriptions or goals. This work demonstrates that video can serve as a first-class specification in visual programming environments, opening new directions for LLM-based debugging beyond symbolic code alone.