From the Super Mario Wiki
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In this game, a person resembling Wario is seen dancing with two women in the background. The game's purpose is to memorize the ladies' moves and make the Wario-looking person perform them. The player also has to follow the rhythm exactly to continue until the end. If the player misses one single move, they lose. Some of the move sequences for levels 2 and 3 in the Japanese version differ from the American version.