Touhou Danmaku Kagura: Phantasia Lost is a rhythm action game that immerses players in the world of Gensokyo, featuring two main gameplay modes: Story Mode and Free Mode. In Story Mode, players uncover the mysteries behind Gensokyo's collapse through rhythm-based challenges, while Free Mode allows for unlimited play with a vast selection of songs. The game boasts an impressive library of 171 tracks, including original compositions and additional songs available through DLC, catering to fans of the Touhou Project and rhythm games alike.

The gameplay is enhanced by unique features such as the Kagura Stage, which tests players' timing and combo skills across six lanes, and the innovative Danmaku Stage that merges shoot 'em up mechanics with rhythm gameplay. Customization options allow players to tailor their experience, adjusting note speed and design for a personalized touch. With over 80 animated characters and contributions from renowned artists, the visuals and music create a captivating experience for players.