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Mushihimesama is a vertical shooter in the “bullet hell” subgenre. Sometimes featuring thousands of bullets on screen at a time, Mushihimesama is designed to create thrilling close calls where the player uses a small hitbox to narrowly escape through the gaps in the dense shot curtains.

Mushihimesama has four modes: Normal, Novice, Arrange, and V1.5. Normal closely replicates the original arcade version, while Arrange and V1.5 are remixed versions of the original game with alternate soundtracks, mechanics, and shot patterns.