Touhou Hack and Slash is 2D top-down action role-playing fangame set in the Touhou world with dungeon crawling gameplay similar to the Diablo series. The player can choose one of two characters (Reimu and Marisa, the main heroines in the series). They explore giant, multi-level, randomly generated dungeons, kill monsters and collect various items. The game has typical RPG elements like experience points, various abilities and equipment. The player can sell and buy things in shop, a village on the surface.