There are three stages, unless mentioned otherwise: The Yukata Girls, from left to right: Sakuya, Momoka, Reira and HibikiĮvery model originates from a certain 18+ hentai visual novel, associated with publisher Zoo Corporation. The 14 stages/models, in order of appearance are as follows. The final stage varies from this classification, instead having four boards that each feature a different model. Stages can contain between three to five boards, which will feature that stage's model in a different outfit. Pretty Girls Panic has a total of 14 stages, each featuring a different model. The final stage differs from this pattern, featuring only fully clothed models in kimonos, as it is implied the models are very young or 'teens.' Stages usually feature the models either in various stages of undress or donning certain fetishized costumes, such as nurses' outfits or schoolgirl uniforms. Pretty Girls Panic is a throwback release, reminiscent of the Gals Panic franchise, which is in itself the sexualized version of Qix. There are online leaderboards for each stage. Sectioning off an area with a monster will clear them off the board, which incorporates a combo system tied to a high score rank.

Enemies include crabs, turtles and starfishes. Some stages also incorporate differing enemies that can bounce off surfaces, home in on the player's location or shoot out projectiles. The girl in question will then also be available in the main menu's gallery, as a separate image unrelated to the rest of the background. Once enough of the background is uncovered, the game will clear the rest and reveal the complete image. Each stage features a certain anime girl in the background, who will react to sections getting cleared. Pretty Girls Panic (stylized as Pretty Girls Panic!) is an arcade style game where the goal is to uncover the background by sectioning off boxes that disappear when encircled.

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