© 2018 The Author(s). Arcminute Microkelvin Imager observations towards CIZA J2242+5301, in comparison with observations of weak gravitational lensing and X-ray emission from the literature, are used to investigate the behaviour of non-baryonic dark matter (NBDM) and gas during the merger. Analysis of the Sunyaev-Zel'dovich (SZ) signal indicates the presence of high pressure gas elongated perpendicularly to the X-ray and weak-lensing morphologies, which, given the merger-axis constraints in the literature, implies that high pressure gas is pushed out into a linear structure during core passing. Simulations in the literature closely matching the inferred merger scenario show the formation of gas density and temperature structures perpendicular to the merger axis. These SZ observations are challenging for modified gravity theories in which NBDM is not the dominant contributor to galaxy-cluster gravity.