The three levels are divided into two parts.
First, Usagi walk through the city, school or a health spa; occasionally talking to people. After talking to the right people, Usagi turns into Sailor Moon and enters another level in which she fights numerous enemies.
Sailor Moon can only use kicking attacks. Pressing the down button would make Sailor Moon sit down and cry. There are rocks on the wall nearby, her high-pitched crying can make the rocks explode and drop special items. These items give different attributes: one enables her to use Moon Tiara Action for a limited number of times, one makes her invincible for a short amount of time, etc.
The game also has several mini-games, one in which the player controls Sailor V and has to destroy a giant hamburger, similar to the Codename: Sailor V game that was shown in the anime.
Sailor Moon has to fight Jadeite each time after defeating the two Youma. At the end of the last level, she has to fight him again before facing Queen Beryl.
- The game was fan-translated into English in 2004.