Missile's spirit has a longer reach than Sissel, and has the ability to swap the position of two objects that are of the same shape. Later in the game, players can switch control to Missile, the ghost of a small dog. If the player fails to save the victim in time, he may choose to go back to the beginning of the four minutes, or return to a checkpoint created when the player manages to alter fate a little. He can also communicate with the ghost of whomever he is saving, but only if the ghost is conscious. In these four minutes, Sissel can attempt to use his Ghost Tricks to alter the situation, and ultimately change the future by saving the person's life. When he does this, he can return to the time four minutes before the corpse's death.

Much of the plot is driven by Sissel's ability to possess corpses.

For example, moving a tray of donuts will prompt a character to change where he or she is currently seated, as well as giving Sissel access to new areas. These objects are represented by blue cores, and in the Land of the Living, Sissel can animate these objects to perform actions, known as 'Ghost Tricks', that open new paths or influence the characters around him.

In the Ghost World, Sissel can travel between objects within a certain radius. During gameplay segments, players can swap at will between the Land of the Living, where time flows naturally, and the Ghost World, in which time is stopped. Ghost Trick is an adventure game in which players control Sissel, a ghost who uses his unearthly powers to save lives. A view of the Ghost World, where time stands still and Sissel can transfer his spirit to nearby objects

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