I'm glad that you took feedback from last time. I know your heart is in the right place, but my sugestion to put the note line in the middle instead of on the side just made me nauseated while trying to focus on the notes while the camera was going nuts. Tone down the camera movements or make them cuts to different angles, and add a half-transparent background across the note line to give the eyes something to zero in on.
Other than that, the control schemes and the costumes (I couldn't stomach playing the game long enough to unlock them, sorry) you didn't seem to do much in the way of refining the gameplay at all. It's still not anything special on as a rythm game, but it might do well as a vehicle to induce vomit.