The scale of the impact his games have had is shocking. Fans of ZUN's work are so widespread, you've probably seen some of the art, covers[3], or some of the fan works that it inspired. If you were near any amount of Anime fandom in the last decade, then you've seen a lot of stuff based on ZUN's work.
That said, a lot of people haven't actually played his original games, which are very impressive. They may seem impossible[4] at first, but they have a certain meditative quality once you get past the initial shock, and can be (in my opinion) surprisingly effective at tricking the player into a "flow"-style mental state.
[1] http://en.touhouwiki.net/wiki/Team_Shanghai_Alice
[2] http://en.touhouwiki.net/wiki/Danmaku
[3] For example, the youtube suggestions for this well-known cover of Bad Apple ( https://www.youtube.com/watch?v=VzEUeWnV73U ) is full of people being creative with jsut that one song. Some of are surprisingly talented ( https://www.youtube.com/watch?v=hr7uwOp0Yck )
[4] Just don't play it on "lunatic" difficulty: https://www.youtube.com/watch?feature=player_detailpage&v=eJ...