There are games released on a PC platform which are rated 18+ for their sexual content. 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. There are also games targeted towards women that are focused on romance between men, called boys' love games ( ボーイズラブゲーム, bōizu rabu gēmu), and sometimes there are yaoi (boys' love) elements in otome games, but the two genres are usually kept separate. The genre has many style elements in common with shōjo manga and josei manga, and plotwise they are often similar to harem manga. Some publications that regularly cover otome games include B's LOG and Dengeki Girl's Style. 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. 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. McKenzie & 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.

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'. In 2006, Famitsu's listings for the Top 20 selling love games included seven otome games. Angelique is credited with 'set up the specifics and conventions of women's games: a focus on romance, easy controls and utilizing other multimedia.' In 2002, Konami released its very successful Tokimeki Memorial Girl's Side, which brought many new fans to the still-new genre. In 2021, the series continues with Angelique Luminarise, in which the protagonist is a 25-year-old office worker. The game was originally targeted to pre-teen and younger teenage girls, but became unexpectedly popular with older teenagers and women in their 20s. The first otome game is generally acknowledged to be Angelique, released in 1994 by Koei in Japan for the Super Famicom, and created by an all-woman team. 6 Notable otome game developers and publishers.

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