Shadowy Tormentors inhabit this dimension, and emerge from it to torment death knights such as Koltira Deathweaver. The Lich King originally kept them at bay, but after the Knights of the Ebon Blade left his service, the tormentors are now loose upon them. He even appears in the World of the Dead, as he calls it, riding a frost wyrm during  The Power to Destroy.
Sometimes enemies will drop Phantasma, a currency that is unique to Torghast. You may also find Phantasma from Anima Powers or breakable objects. Your Phantasma all disappears as soon as you leave Torghast. Occasionally, you may find a Broker, a Phantasma vendor within Torghast, who will allow you to spend your Phantasma to buy Anima Powers, along with other consumables that will aid you on your run.
One thing that has always been remarkable to me in World of Warcraft is how it brings players together from all sides of life to meet with common goals. I've been playing the game for fifteen years, and have played with gamers with all sorts of accessibility needs. I distinctly remember raiding Serpentshrine Cavern back in the day with an amputee friend Paladin who healed an entire raid of 25-players using a mouse equipped with dozens of buttons. He also competed at a high level in World of Warcraft Arena, as well as any able-bodied player I've seen.