Besides Trace Memory, Hotel Dusk, Time Hollow, 999, and the Ace Attorney series, what else is there for me to get? I can't think of any more titles that were released stateside...

Nine Hours, Nine Persons, Nine Doors.

Sorry, missed the '999' in your post.

edited 14th May '11 12:53:21 AM by Heatth

There's also the two Jake Hunter games.

Another Code, aka Trace Memory, is sometimes regarded as a fusion of adventure game and visual novel.

Likewise, the Life Signs game has been called a combination of surgery game and visual novel.

Lux-Pain was released in English, but I haven't heard many good things about it. It has an overall score of 48 on Metacritic (assuming you trust the site and reviewers...)

Tecmo Koei released a serious visual novel in English called Again. It has an overall score of 52 on Metacritic.

The early DS game Sprung is a western romance game. I don't know if it's well regarded. It shows up in bargain bins quite a bit...

Finally, regarding fan translations... Jjjewel finished work on Tokimeki Memorial Girl's Side DS back in December 2010. And it looks like a complete translation for the second Girl's Side game will be released in the next few days. Please keep in mind that translation patches will not work with a legit import cartridge.

I think that Lux-Pain is not a bad game, really, it just has a bad localization.

Not really much you can do about that though, unless there is a fan-translation...

I haven't looked at Lux-Pain in a year or two. From what I recall, the voiced dialogue seemed out of sync, and inconsistent with the on-screen text. But if you're okay with emulation, then you may want to look for the Lux-Pain undub — it retains the English text, and replaces the dubbed voices with the original Japanese voices.

Just a moment ago, I searched for "touhou ds, " and the most relevant site was created by a person who's been adapting commercial (and mostly) official English visual novels for DS emulation and flash carts. According to http://www.weeaboo.nl/index.php , installed copies are required. It uses Digital Haze's visual novel reader (at http://www.digital-haze.net/vnds.php ), which contains DS flash cart ports of freeware and unlicensed English VNs.