In Giana Sisters: Twisted Dreams, you come across contrasting worlds. As a gamer, your role is to seamlessly transition between the two worlds to combat grueling enemies and solve puzzles. There are instances when you’ll have to combine the two sisters’ offensive/defensive abilities. For instance, to escape the dualling dimensions, you may have to use the twirling jump attack of Giana in combination with the hammering dash attack of Punk Giana. The game comprises a lot of running, dashing, jumping, head-bonking, and firing of bullets and cannonballs at the opponents to clear obstacles.