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Born in Chiba, Japan, he first came to public attention as an editor of Puff magazine, his first job after completing high school. Fujishima originally intended to be a draftsman, but took the editorial role after failing to get a drafting apprenticeship. He later became assistant to manga artist Tatsuya Egawa in the production of the Making Be Free! manga, and in 1986 began his first original manga series You're Under Arrest. His second manga series Oh My Goddess!, also translated as Ah! My Goddess, is Fujishima's most famous work, which made him a household name in Japan. He is also well known as the character designer for several games in the Tales series and Sakura Wars.
He is known for his love of automobiles and motorcycles, and several of his series and their characters reflect this, such as in éX-Driver and Oh My Goddess!.
On June 29, 2016, the famous 20-year-old cosplayer Nekomu Otogi announced her marriage to Fujishima as well as her pregnancy on her Twitter page. Both of them had known each other on Twitter approximately since 2014.
On July 7, 2016, Fujishima confirmed the marriage on his Twitter account.
|You're Under Arrest||1986–1992||Author / Illustrator|
|Oh My Goddess!||1988–2014||Author / Illustrator|
|Kōryū Densetsu Villgust||1992||Character Designer|
|Tales of Phantasia||1994, 1999, 2003, 2006||Character Designer|
|Sakura Wars||1996–2005||Character Designer|
|éX-Driver||2000||Author / Character designs and settings|
|Piano: The Melody of a Young Girl's Heart||2002||Original Creator / Character Designer|
|Gungrave||2002, 2003, 2004||Mechanical Designer|
|Tales of Symphonia||2003, 2004||Character Designer|
|Tales of the Abyss||2005||Character Designer|
|Tales of Vesperia||2008||Character Designer|
|Paradise Residence||2009–2016||Author / Illustrator|
|Tales of Xillia||2011||Character Designer|
|Tales of Xillia 2||2012||Character Designer|
|Tales of Zestiria||2015||Character Designer|
|Tales of Berseria||2016||Character Designer|
|Black Rose Valkyrie||2016||Character Designer|
|Toppu GP||2016-2017||Author / Illustrator|
- "20-Year-Old Cosplayer Announces Marriage to 51-Year-Old Oh My Goddess! Author Kousuke Fujishima". Anime News Network. 2016-06-30. Retrieved 2016-07-02.
- "Fujishima Kousuke Confirms Marriage". wwhcurrent. 2016-07-07. Archived from the original on 2016-07-10. Retrieved 2016-07-09.
- "Ah! Megami-sama: Tatakau Tsubasa". Newtype USA 6 (12) 15. December 2007. ISSN 1541-4817.
- Nakagami, Yoshikatsu et al. "You're Under Arrest: Full Throttle". Newtype USA 6 (12) 48–49. December 2007. ISSN 1541-4817.