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Determinator: Fighting dozens of horrifying monsters, seeing the gruesome deaths of Mayor Bartlett, Dr. Fitch, his mother and his father and the general horror that is Silent Hill didn't stop him from trying to bring Josh back. Unfortunately, said brother was Dead All Along.
Neutral Female: Due to the particulars of gameplay, the only thing Elle will help with is lifting gates. Alex can be swarmed by cultists, and she will just stand by.
Joshua "Josh" Shepherd
Voiced by: Dalton O'Dell
Creepy Child: Alex keeps seeing Josh in various levels, and he doesn't exactly look happy to be there. Also the fact that, like Alessa from the first game, he has an affection for bugs and spiders, which can be creepy in and of itself. Of course, the "creepy" Josh seen throughout the game is an apparition. The real Josh seemed like a fairly regular kid.
Dead All Along: Alex accidentally knocked Josh into Toluca Lake on a late-night boating trip.
Buried Alive: How he killed his son. It's how his family kills the children for the ritual, always.
Ludicrous Gibs: After Joey returns as Sepulcher, he smashes his father into a bloody smear.
Mayor Pain: Played with. In the past, he was supposedly respectful and friendly, but after killing his son, he's become a bit of both types, as he becomes an alcoholic out of guilt and keeps digging up graves in the cemetery to cope. Also, keep in mind that he's mayor of a city that has a pact with the cult from Silent Hill, so he may have always been Mayor Pain.
Doctor Martin Fitch
Voiced by: David Alan Graf
Creepy Doll: He dotes his daughter and buys her a lot of these. Lampshaded by Alex.
Ironically, she returns as a porcelain doll monster and kills him.
Fallen Hero: Files in the game state that he saved Alex from drowning in a bus accident when he was eight years old.
Irony: His heroism has this, given that Alex was supposed to be sacrificed through drowning by his parents.