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Each main Touhou game has four difficulty levels ("easy", "normal", "hard", and "lunatic") with each one being harder than the previous. Regardless of difficulty choice, there are six stages in each game that become progressively difficult. The only exceptions to this are Story of Eastern Wonderland and Embodiment of Scarlet Devil on easy difficulty, both of which only have five stages.

In Gensokyo, events called "incidents" occur once in a while. An incident is an event that affects all of Gensokyo and is of unknown cause at the time it occurs. Touhou Project mainly focuses on incidents that affects the entirety of Gensokyo in its stories, but there are also works like Mountain of Faith that are centered on lesser-scale events.

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