Both "AllGame"s Kyle Knight praised the audiovisual presentation and frantic gameplay, stating that "Twinkle Star Sprites" is "a refreshingly innovative title that manages to pull its seemingly incompatible elements together brilliantly." However, Knight criticized the amount of slowdown when too many objects are present on-screen. "Consoles Plus" François Garnier also praised the presentation, visuals, animations, audio, longevity and playability. "IGN"s Colin Williamson reviewed the Dreamcast conversion, commending the addition of extra options in the release and multiplayer mode but criticized the low-resolution graphics and stated that playing single-player modes were not appealing in a long-term.