You can simply go to Settings and choose your language among those available. The game is also multi-language, so you don't have to worry if you don't speak English. You can choose among several skins, create your own beat maps, select the songs to play with, and so on.
The aesthetics of the entire game are totally Japanese, Manga-style, which will appeal otakus and those interested in Japanese pop culture. This makes the game very pleasant to play while listening to good music. Once you feel ready, you can choose among several songs, most of which are techno music or pop songs by emerging artists. To get you started, the application includes a tutorial that walks you through the gameplay. The game is rather challenging even in its easier levels. Each tune has different difficulty levels that can go from Easy (lowest) to Insane (highest). You can choose the tune you want to use in your game. First, the circles, balls, and spinners appear randomly on the screen, and their speed depends on pre-selected music tunes. Osu! is a free online skill game in which you need to match circles, slide balls along a track, and spin a circle as fast as you can.