The gameplay is identical to the original, but instead of a black ninja, a man will arrive and pick up his sword-like stick to protect his girlfriend from the bad guys shooting bullets out of slingshots. The beat is changed so the bullets go a bit faster than usual.
A: Swing Stick Right. Can only be done if the stick is to the left.
D-Pad: Swing Stick Left. Can only be done if the stick is to the right.
Ninja Reincarnate also appears in the 2P mode of Rhythm Tengoku (Arcade) where it is referred to as Ninja Reincarnate 2P (忍者の子孫 2P,Ninja no Shison 2P?). It plays the same as the 1P version, except the two players take turns on each section. This effectively doubles the length of the game.