HonestGamers writes: "Cave's efforts to create something different proved stunningly successful. The level of detail on the beastly mutts, the cyclopean fiends, and ethereal wraiths wouldn't be possible if Cave had simply handled this as "DonPachi with undead enemies". The high-resolution, in-your-face artwork screams LOOK AT ME! in a way that distant, bird's-eye views rarely can. Deathsmiles capitalizes on that attention with intuitive and rewarding gameplay."