The game centers around the main characters, Rin Kagura, Shin Suzutani, Chiyo Kishibe and Makoto Shirae, as they try to escape a world inhabited by violent spirits, called the Mnemonic Abyss. After visiting a chatroom, called "The Black Page", the characters are transported into the Mnemonic Abyss which they must escape or else they'll become spirits haunting the world, too.
The game is in a first-person perspective and, like Silent Hill: Shattered Memories, the game has no weapons at all. Players can explore drawers and other objects by using the Wii Remote. The Remote also acts as a cell phone in which ghosts speak via the speaker. Cell phones can be used as a transporter to transport the player from different locations in the abyss.
When players are under attack from ghosts, players have to swing the controller and press the following button commands.