You sure can! It's pretty old but you can definitely run it, even on the later versions of Windows! If you're interested in purchasing, you can get it imported on Amazon (found this link on the Touhou wiki).

For newer Windows, you may experience problems with fps, the game running too fast, but that can be easily repaired with the VSync patch and fixing the program to run with Japanese locale. Also, if you use a Mac, you will likely have to get Wine for the program to run correctly.

u/FloweringHermit · 1 point r/touhou

Doesn't seem to expensive on amazon

http://www.amazon.com/Touhou-Koumakyou-Embodiment-Scarlet-Devil-Pc/dp/B005HWXCL0/ref=sr_1_1?s=videogames&amp;ie=UTF8&amp;qid=1449312821&amp;sr=1-1&amp;keywords=touhou

And Jlist has somewhat similar prices

https://jlist.com/series/touhou?dir=desc&amp;p=4

https://jlist.com/series/touhou?dir=desc&amp;p=5

u/kendotlibero · 1 point r/gamecollecting

touhou has phisical copies
http://www.amazon.com/Touhou-Koumakyou-Embodiment-Scarlet-Import-Pc/dp/B005HWXCL0

u/PlasticRhombus · 1 point r/touhou

http://www.amazon.com/Touhou-Koumakyou-Embodiment-Scarlet-Import-Pc/dp/B005HWXCL0/ref=sr_1_8?ie=UTF8&amp;qid=1394404577&amp;sr=8-8&amp;keywords=scarlet+devil

also just check US amazon~ the cheapest option there is actually from White Canvas, a really well-known doujin shop

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