The game generally received mixed reviews from critics, with Metacritic stating it as "a knockoff of Touhou with pinball". Charles Martinet also did the voice of the announcer. Most of the game's dialogue and voiceovers were taken from the arcade version of Embodiment of Scarlet Devil, with Wendee Lee providing Reimu's voice and Jen Taylor providing the voice of Marisa. The music is a remastered version of the soundtrack from Touhou 6: The Embodiment of Scarlet Devil, all arranged by Peter Hajba and Susumu Takajima.
The game has also been ported to Microsoft Windows as one of the themes for Visual Pinball. Pinball is a popular arcade game, in which points are scored by a player manipulating steel balls on a play field inside a glass-covered cabinet called a pinball machine (or pinball table). Released in the Summer of 2001, over 10,000 arcade units have been made. ' Touhou Pinball' (Japanese: 東方ピンボール, Hepburn: ' Tōhō Pinbōru'), also known as ' Touhou Kukyouki' (Japanese: 東方紅狂気, Hepburn: ' Tōhō Kukyōki'), is a pinball machine created by Drillimation Studios and Williams Electronics.