People in North America, Europe, and other regions will not have to import Shin Megami Tensei from Japan (unless they really want to). Atlus has confirmed today that the Nintendo Switch game will receive a worldwide release. However, a release date and price are not yet available.
What has been released is a new Shin Megami Tensei V trailer and handful of screenshots. People can catch glimpses of a dilapidated world, our possible hero, and multiple demons.
Shin Megami Tensei V was revealed for the Nintendo Switch during an October 2017 live stream. The game is currently in development.