In 2002, Konami released its very successful Tokimeki Memorial Girl's Side, which brought many new fans to the still-new genre.

In 2006, Famitsu's listings for the Top 20 selling love games included seven otome games.

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The genre has many style elements in common with shōjo and josei manga,, and sometimes there are Boys' Love elements in otome games, but the two genres are usually kept separate.

Otome games that are released on console and handheld platforms contain no pornographic content, as companies such as Sony and Nintendo do not allow it.

This genre is most established in Japan, and is mostly made up of visual novels and simulation games; particularly dating sims and life simulation games.

As of 2013, the most representative otome game title available in English is Hakuoki: Demon of the Fleeting Blossom for the PSP and 3DS.

is a story based video game that is targeted towards the female market.

Generally one of the goals, besides the main plot goal, is to develop a romantic relationship between the female player character and one of several male characters.There are games released on a PC platform which are rated 18+ for their sexual content.Early games borrowed heavily from the iconography and story conventions of "retro shoujo manga", "the archetypical girly heroines, the emphasis on pure, sexless, tranquil romance and on a peaceful, stable setting", but as the category expanded, other narrative and gameplay elements were introduced, including action/adventure, combat and plots in which "the heroine can ‘save the world’ and ‘get the guy’ at the same time".Mc Kenzie & Co (1995) from American Laser Games and Girl's Club (1992) from Philips Interactive were simulation games for girls developed and released in the US in the past.The first Japanese otome game to be officially translated and sold in English was the visual novel Yo-Jin-Bo in 2006 for the PC.Since then there have been a small handful of releases increasing each year, including Hakuoki: Demon of the Fleeting Blossom for the PSP and 3DS.