Motivated by hints of the effective emergent nature of spacetime structure, we develop a spacetime-free framework for quantum theory. We find that quantum states on an extended observable algebra, the free algebra generated by the observables, may give rise to effective spacetime structures. Accordingly, perturbations of the quantum state (e.g., excitations of the vacuum) lead to perturbations of the induced effective spacetime geometry. We initiate the study of these perturbations, and their relation to gravitational phenomena.