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The Confusion Boost's icon takes the form of a purple and blue-colored, cone-shaped aura with dark gray smoke around its aura trail. In gameplay, this power-up becomes an aura matching or otherwise fitting the user's color scheme (such as light blue for Silver and purple for Espio) while leaving a white color trail in the user's slipstream.
Once obtained, the player can utilize the Confusion Boost by pressing its icon on the bottom of the HUD. When used, the Confusion Boost will increase the speed of the user for a short amount of time. The duration of the Confusion Boost is shown by the decreasing gauge on top of this power-up's icon on the bottom of the HUD whenever the Confusion Boost is in effect. In addition, any rival character who makes contact with the user while the Confusion Boost is in effect will have their controls flipped, and will also have their Item slots on the bottom of the HUD disappear for a short time, thus temporarily preventing the player from using the power-ups stored in them.
The Confusion Boost can also be upgraded by leveling the user up to level 2, 8 and 14 respectively. For each upgrade, the Confusion Boost will last longer.
Back when the Confusion Boost was known as the "Illusion Boost", it used a red aura and left behind the same red energy cubes used by Infinite in Sonic Forces, possibly as a reference to the nature of Infinite's power.