Characters from Scarlet Weather Rhapsody can be made playable in Touhou Hisoutensoku if the player also owns that game on the same computer.

System Cards include bombs (like in Immaterial, knocks the enemy back), weather change, and other miscellaneous options.

Sanae Kotiya, Cirno, and Hong Meirin each have their own fears and dreams about the giant, and each sets out in pursuit of this roaming behemoth.

Exploring the Forest of Magic, the Scarlet Devil Mansion, and the subterranea, the heroines face many challenges and obstacles in their pursuit of a mystery that's far deeper than it first appears.

Like with Immaterial and Missing Power and Scarlet Weather Rhapsody, ZUN of Team Shanghai Alice only did parts of the game while Twilight Frontier did most of the game-making.

ZUN, besides overseeing the whole development, also provided the storyline, new character designs, spell card names, and three new music tracks for the game.

Unlike the main line of Touhou games where the character artwork is drawn by ZUN, the dialog character sprites and ending artwork in Touhou Hisoutensoku are drawn by alphes from the Twilight Frontier team, as is the case with Immaterial and Missing Power and Scarlet Weather Rhapsody.