Otomedius Excellent offers a single-player campaign and a multi-player mode provided via the Xbox Live service.

In the year 2011 AD, after the civilization war between the Angel Squadrons and the Gofer Sisters before their memories taken, and the music box has been forbidden (Otomedius Gorgeous).

They featured BGM packs, extra stages and customize Outfits through Xbox Live.

The soundtrack album contains the game's musical tracks from a variety of popular game composers including GEM Impact (Norihiko Hibino and Takahiro Izutani), Motoi Sakuraba, Michiru Yamane, and Shinji Hosoe.

[6] Eric Bowman of GameCritics.com gave the game a 2/10, saying "Otomedius Excellent shouldn't be worth anyone's time.