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I stumbled across this recently. My initial assumption was "the world's longest Touhou remix," but it's actually closer to a concert than a medley. If you're willing to watch it with the captions on for the full three hours, there might be a vague story going on. Either that or it's just game dialogue. Regardless: the visuals are nice, the music is pretty good, and even a few of the transitions are noteworthy. If nothing else, it makes a good substitute for a playlist while studying or something.