The Miracle Piano Teaching System consists of a keyboard, connecting cables, power supply, soft foot pedals, and software.

After the supplied MIDI keyboard is connected to a console or computer and the included software is loaded, a user follows the on-screen notes.

Some of the NES Miracle keyboards were later converted for PC use and the Nintendo Seal of Quality on these boards was covered up with a piece of plastic.

[11] David Wesley and Gloria Barczak mentioned that the system was praised by educators and that in 1990 it was the highest-rated third-party NES title by Nintendo's software review team.

It was not well-suited to average gamers who lacked musical experience or who were not highly committed and dedicated to undertaking long-term electronic piano learning.

[2] The game was reviewed in the Oppenheim Toy Portfolio Guide Book where the authors described it as "by far the highest use a video-game machine has ever been put to".