It probably depends . Both Skooma pipes and drinkable skooma are shown in game . If I had to guess , skooma can be dissolved into water or alcohol and drunk . This is proabably the preferred way dealers sell it , since it ' s harder to eyeball and see that the dealer put way less than you payed for in it , and can be cut with more alcohol if running low on skooma . And if it isn ' t dissolved , it can be smoked out of a hookah type pipe . You could probably dissolve the solvent it comes in or filter it out and throw it in a pipe . On moonsugar I would guess it is just eaten , maybe snorted . That might fuck up the nose , and Khajit do a LOT of moon sugar and don ' t complain about it , so it ' s probably just eaten . It ' s probably like cannabisopiumcoca in that it ' s pretty good by itself , but can be processed into more potent drugs , namely skooma .