His approach combined traditional Japanese media with a modern sensibility for character and mood. While many Nihonga artists sought to preserve classical aesthetics, Tsunetomi focused on the lives of women in the Osaka entertainment districts. Works like Maiko (Female Performer) and Bride use bold compositions and careful linework to suggest the interior thoughts of his subjects. He avoided the soft, ethereal qualities common in Kyoto-style painting, preferring sharper contrasts and more expressive poses that reflected the changing social roles of women in the early twentieth century.

Modern collectors value Tsunetomi for his ability to balance decorative beauty with emotional weight. His prints do not merely provide decoration: they offer a window into the urban culture of the Taisho era. The starkness of his subjects makes them suitable for contemporary interiors where a sense of drama is preferred over simple prettiness. His woodblock prints remain sought after for their technical precision and their honest portrayal of the human condition within the constraints of tradition.