DeathSmiles is a side-scrolling shoot 'em up game developed by CAVE and released for the Xbox 360. With an anime gothic-horror aesthetic, the game features a cast of young girls battling against a myriad of monstrous and supernatural foes. Players choose a character and navigate through multiple levels with branching paths, firing at enemies with a combination of ground and aerial shots, and dodging intricate patterns of bullets. Its gameplay is characterized by its bullet-hell mechanics, distinctive art style, and cooperative play for two players, making it a staple in the shoot 'em up genre.