'Higan Retour ~ Riverside View' and 'White Flag of Usa Shrine' were rearranged for the music CD Retrospective 53 minutes. 'Wind God Girl', a song that was originally released in the Bohemian Archive in Japanese Red artbook, was included in this game in a shorter form ZUN considered the original cut of the track to be too long for the game. In addition, Cirno's theme, 'Tomboyish Girl in Love' and Mystia Lorelei's theme, 'Deaf to All but the Song' have arranges under the titles 'Adventure of the Lovestruck Tomboy' and 'Deaf to All but the Song ~ Flower Mix' respectively. Youmu Konpaku's theme, 'Eastern Ghostly Dream ~ Ancient Temple', Reisen Udongein Inaba's theme, 'Lunatic Eyes ~ Invisible Full Moon', and the Prismriver Sisters' theme, 'Phantom Band ~ Phantom Ensemble' have new arranges for this game. A number of character-specific themes are reused from previous games. Phantasmagoria of Flower View features 19 separate music tracks. Twinkle Star Sprites' gameplay where two players simultaneously engage in shmup gameplay while sending attacks to their opponent was the main inspiration for Phantasmagoria of Dim.Dream's gameplay. Phantasmagoria of Flower View was designed to be a sequel to Phantasmagoria of Dim.Dream in terms of gameplay and, by extension, Twinkle Star Sprites. Using a netplay patch enables multiplayer through LAN or over the Internet. The player can also choose to watch two AI opponents face off. A Versus Mode is also included, consisting of a single match against either an AI or human opponent. The game features a Story Mode which pits the player against a nine opponents, with each opponent becoming progressively more skilled. When a player loses all of their hit points, they are defeated. Similar gameplay is present in an earlier entry, Phantasmagoria of Dim.Dream. Phantasmagoria of Flower View is a split-screen vertical-scrolling danmaku shooting game where two characters must shoot and dodge bullet patterns while unleashing attacks and character-specific spell cards onto the other player.

Main articles: Gameplay, Strategy, Netplay, and Spell Cards

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