Touhou Youyoumu: Perfect Cherry Blossom offers players a diverse experience with three playable characters, each with unique skills. Reimu Hakurei provides a balanced gameplay, Marisa Kirisame excels in speed and powerful attacks, while Sakuya Izayoi offers precision with weaker but wide-reaching attacks.

A notable feature is the "Cherry" scoring system, where actions affect Cherry Points, influencing gameplay dynamics and rewards. Changes in hitbox visibility when focused, varied attack properties based on focus status, and a boss battle cursor enhance strategic depth. Moreover, the inclusion of a challenging "Phantasm Stage" after clearing the Extra Stage adds an extra layer of difficulty and excitement.