Spirit healers decide when it's time for a mortal soul to pass into the Shadowlands. When a mortal dies and their soul crosses the veil between life and death, it is shepherded by the kyrian to Oribos so that they can be judged by the impassive Arbiter. All of the soul's contents—deeds, misdeeds, thoughts, accomplishments, and failures—are instantly laid bare before the Arbiter, who then judges in a mere instant and sends the soul off to one of the infinite realms of the Shadowlands, each of which is ruled over by a powerful Covenant. The Covenants are ancient and powerful orders who have existed since the Shadowlands were shaped long ago, and who bear sacred duties to help maintain the afterlife's ecosystem. Not every soul is filtered into the main four Covenants. Each soul brings with it a vital force known as anima, the product of all of the soul's experiences and actions in life. Anima is the lifeblood of the Shadowlands, making trees grow and rivers flow and is the source that's drawn upon to conduct the magic of death. Great souls—both good and evil—have a lot of anima, while those who have lived humbler lives have less. Four of the realms—Ardenweald, Bastion, Maldraxxus, and Revendreth—are especially vital to the functioning of the Shadowlands. However, there could be infinite afterlives, some small and tailored to a single person while others are vast and full of either splendor or torment. Between each realm is a cloudy space which was once rich with streams of anima connecting the different domains, but the current anima drought has caused the realms to become cut off from one another, breeding fear and mistrust among the inhabitants.
Beings of death are ancient and powerful, and it is dangerous to meddle in their realm. When Odyn peered into the Shadowlands, he saw some of its inhabitants: souls in torment, the husks of the dead, ghostly wraiths with no face, and others with no form, all made of death itself. This was enough to frighten even him. Several races in the Shadowlands, such as the kyrian of Bastion, are souls of deceased mortals who have been transformed to serve a new purpose. If one of these former mortals is killed in the Shadowlands, they die permanently. Other creatures—such as dredgers and stewards—are endemic to the Shadowlands and are naturally born from the magic of death to serve the different realms and help facilitate the process of the afterlife. If one such creature of death is killed, their energy is recycled back into the Shadowlands, and eventually another member of the same race will manifest to take the place of the one that was killed.
The final destination of the spirits of the deceased remains a mystery to the priests and philosophers of Azeroth. However, as spells such as [Resurrection] can reunite a dead body with its spirit, and a majority of living creatures from the tauren to the troll shadow hunters claim they can communicate with and call upon the power of the spirits, a widely held belief is that the spirits of the dead remain on the Material Plane — in an immaterial state that can only be altered or contacted through the use of magic.
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.
Of course, though, many disabled players have unique challenges that require even more specialized equipment. The open nature of PC makes gaining access to these tools a little easier than it is on a closed platform like a console, but Blizzard is making it easier still with Shadowlands later this year, which is now testing full-blown controller support, complete with the Xbox Adaptive Controller in mind.
Adventurers entering the Shadowlands will find the realm of the dead in disarray. In the natural order of things, souls are sorted and sent on to an afterlife realm appropriate to the lives they lived, but starting around the time of the Burning Legion's third invasion of Azeroth, all souls who have perished—including the innocents slain at Teldrassil—are being funneled directly into the Maw. The Shadowlands are starving for anima even as the Maw continues to grow from the glut of fresh souls. Sylvanas Windrunner has been seemingly perpetrating acts to bring about great amounts of death and destruction. In partnership with the Jailer, they have been working toward a common end for some time.