To play the game with an English patch, you typically need to follow these steps:

: A major community-led effort, the Public Ouran DS Translation Project , was revitalized in early 2025. This project focuses on extracting game files and translating the branching storylines involving the different hosts.

: Interestingly, a Russian fan translation is also in active development, which has sometimes progressed faster than the English efforts. How to Use the Patch

: Use a tool like Delta Patcher or an online patcher to apply the translation file to your original ROM.

As of early 2026, there is no single, 100% complete English patch that translates every route and dialogue line in the game. However, significant progress has been made:

: In late 2024 and 2025, translation groups released patches covering the prologue and early story chapters.