Twilight Syndrome Kyuumeihen is a survival horror adventure game for PlayStation that follows a similar gameplay style to its predecessor. Players explore digitized visuals of characters within 2D environments from a side-scrolling and third-person perspective. The game features six standalone scenarios, furthering the narrative from the original title, as players seek clues and make choices that influence the storyline.
The gameplay in this sequel is identical to that of the previous entry: the player navigates the digitized images of the girls over 2D backgrounds in a side-scrolling/third-person perspective manner, searching for clues, triggering scenes, and choosing responses and/or actions when prompted by the narrative.
It consists of six independent scenarios, and the numbering of the scenarios is a continuation from the previous title.