Important Note: Although this game is listed in the TOSEC collection, they actually screwed up and posted the original Waku Waku Mahjongg Panic rom in place of this game. This is the actual game, not the TOSEC duplicate.
This is a sequel to the original game. It's apparent from the new artwork our hero is actually male (It suprised me) and now he has a bunch of elf girls in tow. The four player mahjongg game is altered, now having some kind of weird bingo score system.