Dance Dance Revolution Extreme has a robust soundtrack. It includes many licensed tracks as well as in-house original music that was written and performed by Konami staff.
 The arcade release of Dance Dance Revolution Extreme contains 80 new songs of 240 total, including 11 Club Version songs and three Dancing Stage EuroMix 2 songs. Most of the other new songs are revivals from previous Bemani games. Songs that are not initially available for play are represented with a padlock icon and are only accessible through the use of codes entered into the game's operator menu. The song "Legend of Max" appears on the end credits when the songs are locked.
 Most of the songs featured in Extreme returned in subsequent arcade releases:
 In SuperNova, the 56 removed songs were 51 licenses and 5 Bemani crossovers. SuperNova 2 introduced a DDR Extreme folder. In Dance Dance Revolution X, songs are divided by mix (1st to Extreme) instead of using a single Extreme folder, a feature maintained in all releases to this day.
 Legend:
 The PlayStation 2 release of Dance Dance Revolution Extreme contains 111 songs. In the same vein as the arcade release, the PlayStation 2 release contains a number of popular songs from past games which is uncommon in Japanese console releases. New to the series songs are in green, songs from other Bemani series are in yellow, songs originally from console DDR games, DDR Solo, and DDR 2ndMix Club Version are in purple, songs from previous DDR games are in blue, and Boss songs are in red. New Konami Originals that are not on the arcade soundtrack receive special coloring: DDR Originals are in pink, while BEMANI crossover songs are in orange. Songs that are not initially available are represented with a padlock icon and require certain conditions in-game to be met before they can be played.
 Dance Dance Revolution Extreme reintroduced Nonstop courses for the first time since Dance Dance Revolution 4thMix Plus, with some improvements: the ability to select between two levels of difficulty, and the ability to use modifiers during the course. However, it is no longer possible to use a memory card to customize the song list and order of Nonstop courses. Some Nonstop courses use data collected by the game to determine the songs they contain, while others select songs at random. All Nonstop courses have four songs that are played back to back without rest between them, and use the standard life bar as in normal gameplay.
 Notes:
 The PlayStation 2 version features 12 courses that are identical to the arcade version. Additionally, two courses on the PlayStation 2 replace one song compared to their arcade counterparts:
 The Nonstop Challenge mode from DDRMAX2 Dance Dance Revolution 7thMix returns in Extreme, with its name simplified to Challenge. As before, each player begins with four lives, though the battery only depicts three. Upon breaking a combo (with a Good, Almost or Boo step) or failing to complete a freeze arrow, one life is depleted. Some songs will replenish a life or two after completion. Extreme exchanges the percentage meter with a points meter to determine a player's score. Some Challenge courses contain forced modifiers, listed after the song title in bold. New Challenge courses are in green, yellow and purple, while boss courses are in red.
 Extreme features 26 Challenge courses, including eight from DDRMAX2. SuperNova and SuperNova 2 feature five courses from DDRMAX2 (Love RevenG, plus four courses common to Extreme) and five courses from Extreme.
In Dance Dance Revolution SuperNova

 The following Challenge courses from the arcade version return on the PlayStation 2 version:
 Additionally, the 2MB道 (2MB Road) and 伝説道 (Legendary Road) courses add "Max. Period" as the final song in Expert and Challenge difficulty, respectively.
 The following Challenge courses for the PlayStation 2 remove songs compared to their arcade counterparts:
 Dance Dance Revolution Extreme features 60 new Konami originals, of which 45 are Bemani crossovers. Most of these songs reappear in subsequent arcade releases.
 In regular gameplay, the default song is "Graduation" by BeForU, known as "Graduation ~それぞれの明日~" in the game. This song returns in all subsequent arcade releases, with the exception of Dance Dance Revolution X.
 "Crash!", "Memories" and "Vanity Angel" were originally featured in Dancing Stage EuroMix 2. While "Crash!" was removed from the arcade series after Dance Dance Revolution SuperNova 2, the two other songs were retained in SuperNova and all subsequent releases. "Memories" is an unlockable song in the 2004 North American release of Extreme for the PlayStation 2. In 2006, the unlock code was released on the Burger King website for a promotional campaign.
 The game features four boss songs, which include "Paranoia Survivor" and "Paranoia Survivor Max" on Final Stage, "The Legend of Max" on Extra Stage, and "Dance Dance Revolution" on One More Extra Stage.
 Six songs feature a Japanese name, which the international release of Dance Dance Revolution SuperNova and several other games translate to English:
 Dance Dance Revolution Extreme features 9 new licensed songs from Dancemania. Of these, "Senorita (Speedy Mix)" [sic] by Jenny Rom is the only license to be absent in the PlayStation 2 (PS2) version in Japan, although a preview of this song is hidden in game data.
 Although none of the licenses are available in Extreme for the PS2 in North America, five songs do appear in Dance Dance Revolution Extreme 2 for the PS2 in that region: "Cartoon Heroes (Speedy Mix)" by Barbie Young, "Irrésistiblement" by Wildside, "La Copa de la Vida" by Patrick Victorio, and "Speed Over Beethoven" by Rose.
 On April 25, 2019, "Cartoon Heroes (20th Anniversary Mix)" was added to Dance Dance Revolution A20 and subsequent releases when playing on a golden cabinet. It is an in-house cover by Konami, based on the version found in Extreme.
 The game StepManiaX by Step Revolution features three of the Extreme licenses with new charts. "Senorita (Speedy Mix)" and "Speed Over Beethoven" were added in 2020, while "Senorita (Speedy Mix)" [sic] was added in 2021.
 Dance Dance Revolution Extreme Limited Edition Music Sampler was released on September 21, 2004 by Konami Digital Entertainment of America in North America. This sampler was only available for pre-orders , typically at a GameStop or EB Games retail outlet. The CD contains tracks taken directly from the game as well as unique remixes done by Konami's in-house artists, from a broad range of musical styles.
 Known to Konami as V-RARE SOUNDTRACK-3 USA, the V-RARE moniker had first been used by Konami to release similar albums in Japan to commemorate Bemani game releases there and still are to this date are. In Japan the music CDs are usually bundled with a given game upon release. To date Konami has released 13 V-RARE discs in the US to promote various Dance Dance Revolution game releases and has released them through various video game and non-video game vendors such as GameStop, EB Games, Toys "R" Us, and Burger King.
 Dance Dance Revolution Extreme 2 Limited Edition Music Sampler by Konami Digital Entertainment of America in North America. This sampler was only available for pre-orders , typically at a GameStop or EB Games retail outlet. The CD contains tracks taken directly from the game as well as unique remixes done by Konami's in-house artists, from a broad range of musical styles.
 The CD is also known as V-RARE Soundtrack-5 USA. The V-RARE moniker was first used by Konami to release similar video game-based albums in Japan. In Japan these promotional CDs are usually bundled with its corresponding game upon release. As of December 2010, Konami has released 14 V-RARE discs in the US to promote various Dance Dance Revolution games. The latest one was released in 2008 along with Dance Dance Revolution SuperNova 2.