Senua's Saga: Hellblade II is a third-person action-adventure game. It carries over the concepts and gameplay elements of its predecessor, utilizing puzzles and runes to advance, and an examination of Senua's mental state. A new fighting system is also incorporated. The game features dynamic weather systems and realistic physics, affecting both combat and exploration. Players navigate treacherous terrain, from slippery ice-covered slopes to storm-lashed coastlines.