In Japan, Famitsu gave it a score of one nine, two eights, and one seven for a total of 32/40, and it sold over 100,000 copies in its first week there. The game received 'favorable' reviews according to the review aggregation website Metacritic. These games come with Duo Medals which unlock Two-Player Endless Games. These can sometimes result in the rank going from OK to Superb. Levels played in multiplayer require players to earn enough points in total to reach the desired Rank and clear each game, with bonus points awarded based on the harmony of the players. New to the series (aside from the arcade version of Rhythm Tengoku) is the Two-Player Menu, in which two players can play simultaneously. Clearing these rewards Gifts such as music and something to read. Games that have been cleared with a Superb may also be randomly selected for a Perfect Campaign, in which the player can try to clear the game without missing, with a maximum of three retries before it disappears. Each stage of four games culminates in a Remix, which combines all the gameplay elements of the previous games in one.Ĭlearing levels with a Superb earns Medals which unlock extra content in the Medal Corner, including Rhythm Toys, Endless Games and Extra Games from the original Rhythm Tengoku. At the end of each game, players are Ranked on their performance, with at least an ' OK' rank required to clear it and progress onto the next. The game is played with the Wii Remote held vertically, with players required to either tap Ⓐ, or 'squeeze' Ⓐ+Ⓑ together.

Unlike the previous game, Rhythm Heaven, which utilized the features of the Nintendo DS, Rhythm Heaven Fever for the Wii is limited to button controls.

Like previous titles, the game features various Rhythm Games each with their own rules, requiring the player to play in time to the rhythm in order to clear them.

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