Super Real Mahjong PIII is a strip mahjong game featuring two girls with 5 strip sequences each. Super Real Mahjong PIII featured newly designed sprites for the tiles and game play and was the last game to feature sprite animations of the player's hands in the Super Real series. PIII also introduced continues to the series. The player begins the game playing against Kasumi Serizawa. With every winning hand the opponent removes an article of clothing. With every loss she puts a piece of clothing back on. When the player clears all of Kasumi's strip sequences she introduces the player to her older sister, Miki, and gameplay continues in the same fashion. If the player loses all of his funds then the game is over.