A single death is pretty much fatal, as this game is very dependent on building momentum. Recovery is extremely difficult, if not impossible.
For scoring, each life you have left is worth 1 million points, so that's further incentive to not die at all.
To help with the Gradius syndrome, you can get a shield by picking up blue items. However, you do not get i-frames when your shield is hit, so it is possible to lose it instantly if you are in a stream of bullets or you are colliding with something big.
The game also feels sluggish, partly due to the immense length of the screen, but also because there's quite a bit of down time.









). Most of the remaining will be quite brief, since I didn't get to play them much.




