Why is that such a big deal? Well, for starters, the side-scrolling DeathSmiles is the first Cave-developed, console-based shmup to be released in the region.
Anyway, the folks at Aksys Games recently revealed the box art that will be used for the North American version of the game (below, right) and--surprise, surprise--it differs from the art that appeared on the Japanese release (below, left).

Which one do you prefer?
Although I like the loli-lesbianism on display in the North American box art, I (slightly) prefer the drama and movement of the Japanese original.
Buy: DeathSmiles
Watch: DeathSmiles trailer
See also: 'Let's play: 'Which box art is better?' (Heavy Rain edition)' and 'Let's play: 'Which box art is better?' (Sin & Punishment 2 edition)'