History TearJerker / SilentHillHomecoming

** If you want to take the "Hospital" ending as your preferred canon, then the reason nobody ever reveals that Alex killed Josh is probably because they're all characters of Alex's psyche, and thus involved in the cover-up that forces Alex to journey to the end to remember the truth. Alex is being treated for severe mental distress after his involuntary manslaughter of Josh, and the gameplay can be seen as Alex trying in vain to find his missing brother.

** If you want to take the "Hospital" ending as your preferred canon, then the reason nobody ever reveals that Alex killed Josh is probably because they're all characters of Alex's psyche, and thus involved in the cover-up that forces Alex to journey to the end and remembered the truth. Here, Alex is being treated for severe mental distress after his involuntary manslaughter of Josh.

** If you want to take the "Hospital" ending as your preferred canon, then the reason nobody ever reveals that Alex killed Josh is probably because they're all characters of Alex's psyche, and thus involved in the cover-up that forces Alex to journey to the end and remembered the truth.

* The scene with Josh after the final battle.
-->'''Alex:''' No, I can still save him. I can save him. I can save him...

** Further, Alex's next line, no matter the choice, is the same ("I don't need anything from you."), but the delivery and meaning behind it is completely different. For one choice, the delivery is quiet, as if to say "No, that's all right; you don't need to do this if you don't want to." For the other choice, the delivery is angry, and an outright rejection.

** Made even more heartbreaking by the fact that her father loved her and spoiled her to make sure she had a happy life before he was forced to murder her. He's so scarred by it that he can't stop cutting himself, and when Scarlet rises as a monster, she cradles him for a moment...before literally biting his head off.

* The Bogeyman/Judgement ending can come across as Alex JumpingOffTheSlipperySlope even though Alex's reward of becoming a Pyramid Head isn't what he had in mind. Similar to the sacrificial children, Alex has transformed into a vengeful monster and will presumably terrorize people who have done horrible deeds but it appears VengeanceFeelsEmpty from not forgiving key people near the end of the game. It also overlaps with NightmareFuel as to get this ending, Alex has to let his mother die an agonizing death; this action can be interpreted as Alex panicking at the thought of mercy-killing her or even Alex giving no mercy for the abuse he endured.

* The Bogeyman/Judgement ending can come across as Alex JumpingOffTheSlipperySlope even though Alex's reward of becoming a Pyramid Head isn't what he had in mind. Similar to the sacrificial children, Alex has transformed into a vengeful monster and will presumably terrorize people who have done horrible deeds but it appears VengeanceFeelsEmpty from not forgiving key people near the end of the game. It also overlaps with NighmareFuel as to get this ending, Alex has to let his mother die an agonizing death; this action can be interpreted as Alex panicking at the thought of mercy-killing her or even Alex giving no mercy for the abuse he endured.

* The Bogeyman/Judgement ending can come across as Alex JumpingOffTheSlipperySlope even though Alex's reward of becoming a Pyramid Head isn't what he had in mind. Similar to the sacrificial children, Alex has transformed into a vengeful monster and will presumably terrorize people who have done horrible deeds but it appears VengeanceFeelsEmpty (not forgiving key people near the end of the game).

* The Bogeyman/Judgement ending can come across as Alex JumpingOffTheSlipperySlope even though Alex's reward of becoming a Pyramid Head isn't what he had in mind. Similar to the sacrificial children, Alex has transformed into a vengeful monster and will presumably terrorize people who have done horrible deeds but it appears VengeanceFeelsEmpty.

* The Bogeyman/Judgement ending can come across as Alex JumpingOffTheSlipperySlope even though Alex's reward of becoming a Pyramid Head isn't what he had in mind. Similar to the sacrificial children, Alex has transformed into a vengeful monster and will presumably terrorize people who have done horrible deeds but it appears RevengeFeelsEmpty.

* Mayor Bartlett [[spoiler:pleading with Sepulcher, his dead son, whom he KILLED - before being mercilessly crushed.]]
* [[spoiler:"She loves dollies..."]] And let's not forget [[spoiler:the door leading into Scarlet's boss room, with things like "Daddy, I love you" and "I want to die" written in blood on it.]]
** Made even more heartbreaking by the fact that her father loved her and spoiled her to make sure she had a happy life [[spoiler:before he was forced to murder her. He's so scarred by it that he can't stop cutting himself, and when Scarlet rises as a monster, she cradles him for a moment...before literally biting his head off.]]
* Elle's theme at first sounds a little sad, but then you find out [[spoiler:what happened to Nora.]]
* The scene with Alex and his mother [[spoiler:in the prison. It goes from heartbreaking to downright ''traumatizing'' if you decide NOT to mercy-kill her.]]
* Alex [[spoiler: forgiving his father in the church]] is both this and a SugarWiki/{{Heartwarming Moment|s}}. The revelation that he [[spoiler: ''did'' love Alex, but tried his best never to show it due to knowing he would have to sacrifice him eventually doesn't help. Neither does him asking Alex to forgive him before being brutally killed by Pyramid Head]].

-->[[spoiler: Alex: If you truly want forgiveness, then you already have it.]]
-->[[spoiler: Alex: I promise you, whatever hell awaits you, it won't be long before you see it.]]

* [[spoiler:The scene with Josh after the final battle]].
-->Alex: [[spoiler:No, I can still save him. I can save him. I can save him...]]

* Alex [[spoiler: forgiving his father in the church]] is both this and a CrowningMomentOfHeartwarming. The revelation that he [[spoiler: ''did'' love Alex, but tried his best never to show it due to knowing he would have to sacrifice him eventually doesn't help. Neither does him asking Alex to forgive him before being brutally killed by Pyramid Head]].

-->Alex:[[spoiler:No, I can still save him. I can save him. I can save him...]]

* Mayor Bartlett [[spoiler:pleading with Sepulcher, his dead son, whom he KILLED - before being mercilessly crushed.]]

* [[spoiler:"She loves dollies..."]] And let's not forget [[spoiler:the door leading into Scarlet's boss room, with things like "Daddy, I love you" and "I want to die" written in blood on it. This troper was so traumatized, she let Scarlet maul her to death.]]
** Made even more heartbreaking by the fact that her father loved her and spoiled her to make sure she had a happy life [[spoiler:before he was forced to murder her. He's so scarred by it that he can't stop cutting himself, and when Scarlet rises as a monster, she cradles him lovingly for a moment... before literally biting his head off.]]
* Elle's theme at first sounds a little sad, but then you find out [[spoiler:what happened to Nora.]] Sniff.
* The scene with Alex and his mom in [[spoiler:the prison. Although it goes from heartbreaking to downright traumatizing if you decide NOT to mercy kill her.]]
* Mayor Bartlett [[spoiler:pleading with Sepulcher -- his dead son, whom he KILLED, in the form of a monster -- before being mercilessly crushed.]]
* [[spoiler:The accident and the scene with Josh after the final battle]] if you haven't played a Silent Hill game before.
-->Alex:[[spoiler: No, I can still save him. I can save him. I can save him...]]

-->[[spoiler: No, I can still save him. I can save him. I can save him...]]

* [[spoiler:"She loves dollies..."]] And lets not forget [[spoiler: The door in Scarlet's boss room, with things like "Daddy, I love you" and "I want to die" written in blood on it. This troper was so traumatized, she let Scarlet maul her to death.]]
** Made even more heartbreaking by the fact that her father loved her and spoiled her to make sure she had a happy life [[spoiler: before he was forced to murder her. He's so scarred by it that he can't stop cutting himself, and when Scarlet rises as a monster, she cradles him lovingly for a moment... before literally biting his head off.]]
* Elle's theme at first sounds a little sad, but then you find out [[spoiler: What happened to Norah.]] Sniff.
* The scene with Alex and his mom in [[spoiler: the prison. Although it goes from heartbreaking to downright traumatizing if you decide NOT to mercy kill her.]]
* Mayor Bartlett [[spoiler: pleading with Sepulcher - his dead son, whom he KILLED, in the form of a monster - before being mercilessly crushed.]]