The game didn’t have any in game Japanese, just a Japanese title screen and in-game Engrish. It is a pretty difficult game with finite continues and no saving. You can still play the game this way, or, to make it more fun for non-masochists, and to continue your game where you left off if playing on a copier without savestates, the patch features:

• Translated title screen
• Cleaned up Engrish on disk access screens
• Infinte continues
• Stage select feature on the Continue / End screen (Simply press up or down to select the stage you wish to continue on!)