Alice: Madness Returns is a horror game set in Victorian London. Gameplay focuses on platforming and combat with environmental puzzles. Players take the role of Alice who, after being released from the Rutledge Asylum, struggles with increased hallucinations. She must restore Wonderland, a creation of her mind that has become twisted, to overcome her insanity, guilt, and the mystery of her parents' deaths. Alice: Madness Returns takes places 11 years after the events of American McGee's Alice, which is the same amount of time between the two releases.