Unlike the first and second entries, which are 2D platform video games, Anett Futatabi is a side-scrolling beat-em-up that deeply resembles Sega's Golden Axe and Bare Knuckle franchises.

However, like the previous installments, the story is told through cutscenes between each brief multi-scrolling level, which includes a boss character, who appears out of thin air, usually wielding a weapon.

Being rescued from a certain sacrifice by father figure Earnest Evans, Anett travels across Europe and encounters a local sect that wants her special pendant.

He praised the cutscenes, saying "Anyone with a fetish for the 16-bit, low color, ’90s style anime artwork that proliferated on the Mega CD and PC Engine will love this.

He also praised the cutscenes, saying "There are also plenty of beautiful cut scenes to gander at between each [stage]", but criticized the non-cutscene graphics, calling them "bland".