Many elements of the game were Westernized for its release in the US. As a result, the church contains a cross. However, the townsfolk will sometimes still discuss the church in Shinto terms and refer to multiple gods.

In the Japanese version, the title is made from planks of wood nailed together. For all other releases, this was replaced with a 3D-rendered sign.

In the North American release, all references to alcoholic beverages were renamed to "juice" despite the fact that anyone who drinks it still becomes intoxicated.