Tohno Shiki hears of a new series of murders in Misaki similar to the one's that took place Tsukihime. Whilst searching for the murderer he meets Sion Eltnam Atlasia who initiates a fight with him, attempting to capture him. After fight she reveals that her reason for attempting to capture him is to get in contact with the "True Ancestor" (referring to Arcueid) so that she may acquire information on the "cure for vampirism". Shiki then decides to help her with this task.
It features many drastic new mechanics, two new characters, and 3 different fighting styles for all characters known as, Full Moon Style (Power), Crescent Moon Style (Speed) and Half Moon Style (Simple). Half Moon and Crescent Moon Style stands out for Act Candenza veterans, while Full Moon gives those in the previous installments the most tweaks to the characters moveset(e.g. Tohno Shiki can use one of Nanaya Shiki's attacks in his Full Moon version).
The game also shows a new final boss, known as Dust of Osiris, who is responsible for events caused in the game and also for the return of TATARI phenomenon in Misaki Town. She is the final boss of the story-modes of most of the characters. The character Neco-Arc Chaos was again a non-selectable character, but Neco-Arc can be selectable via a code. Also the game has gained the addition of pairs Neco & Mech and Koha & Mech as not selectable characters and enemies of story-modes of Miyako Arima and Neco-Arc respectively.
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