Phantasmagoria: A Puzzle of Flesh is not an actual sequel to the original Phantasmagoria, but rather a follow-up that has similar themes and visual concept. The game is more heavy on puzzles and traditional adventure gameplay than its predecessor. The gameplay involves standard activities found in adventure games, including extended conversations with the characters featuring selectable dialogue topics, collecting and manipulating inventory items with the environment, etc. It is possible (and often necessary) to call characters on the phone, as well as check and answer e-mails accessed by the player character's computer at his workplace.