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Substances used for smoking hookah need not be completely dry. The most commonly used substance (known as tobamel or maassel) is a 1:2 mixture of tobacco with a sweet substance such as honey, molasses, or semi-dried fruit. Originally tobacco was mixed with one of these sweeteners to form jurak (e.g. Zhaghoul brand), a flavorless, moistened tobacco. Fruit-flavored shisha got its start in the late 1980s when Egyptian tobacco companies experimented with flavored tobacco as a way to transition people away from cigarette smoking. Today, shisha tobacco comes in many flavours, such as apple, strawberry, melon, cappuccino or mint, and is often mixed with dried fruit extracts.

In a hookah, tobamel (maassel) is not directly ignited but is heated to a high temperature using lit coals. These coals rest on a metal mesh or perforated aluminum foil which covers a clay or metal bowl containing the tobacco. When a user inhales through the hose, the coals heat the shisha, producing smoke. The smoke then enters the body of the hookah, passing through a glass receptacle containing water which filters and cools the smoke. The smoker inhales this smoke through a long hose with a mouth piece. This filtration is suggested to filter out, in part, tar and nicotine from the tobacco. However, most brands of shisha tobacco generally contain a mention saying "no tar" and very small amounts of nicotine (0.5%) to begin with.

Due to the mechanics of the hookah, multi-person hookahs exist, where multiple hoses lead to a single tobacco chamber. These are popular in the Western world where hookah smoking is a social phenomenon.

'Shisha' cafes told to be cautious
The General Directorate of the Civil Defence in Abu Dhabi has warned 'shisha smoking' cafes to be more cautious during Ramadan. The directorate issued the warning in a set of guidelines to prevent fires. First Lt. Jamal Abbud Al Jaeidi, Director of Public Relations and Moral Guidance at the Directorate, said they would pay visits to eating places and Ramadan tents in the interest of public safety.
"Shisha establishments, especially in tents, are notorious for causing fires during Ramadan. In view of earlier experiences, in which some casualties were reported, more inspections will be carried out at these places in the interest of public safety," said First Lt. Al Jaeidi.
He said the most dangerous were shisha tobacco smoking cafes set up in Ramadan tents, which are made of fabric that easily catches fire.
The issue of banning shisha tobacco smoking in public places has been raised by several organisations in the emirate over the last couple of years, following complaints by residents close to them.