Honestly? I never expected Rhythm Heaven to come out in the United States. Its predecessor–a game known as Rhythm Tengoku on the GameBoy Advance–never came our way. Now, part of that was simply down to timing; it hit in Japan as the GBA was on its way out in favor of the DS, and by the time it had gone through localization and planning for a release over here it would have been even later to the party.
There was another reason that it ended up becoming a must-have import title and not a game given to the whole world, however; the game was very Japanese.
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