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* Some of the ambient noises can be pretty freakish.

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* Some of the ambient noises can be pretty freakish. The inability to validate your fears and face who or what is stalking you can heighten the fear factor.



** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s that a drywall-banging sound can be heard nearby]]. Nothing is there.

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** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s that a drywall-banging sound can be heard nearby]]. Nothing is there.
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I compared the two sounds and they seem to be different audio files.


** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s the same heartbeat pounding can be heard as in the Mall Storeroom]]. Nothing is there.

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** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s the same heartbeat pounding that a drywall-banging sound can be heard as in the Mall Storeroom]].nearby]]. Nothing is there.
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** If you load a saved game for the Mall Storeroom, there's a chance you might hear heartbeat-like pounding somewhere nearby as if some massive creature is moving towards you. You might get tense about leaving the room, and there's no apparent noise source to be found.

to:

** If you load a saved game for the Mall Storeroom, there's a chance you might hear heartbeat-like pounding somewhere nearby as if some massive creature is moving towards you. You might get tense about leaving the room, and there's no apparent noise source to be found. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background ambiance tracks, but can come across as mild JumpScare.



** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast, moderately-heavy footsteps can be heard, seemingly coming up from below]]. Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background ambiance, but can come across as mild JumpScare.

to:

** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast, moderately-heavy footsteps the same heartbeat pounding can be heard, seemingly coming up from below]].heard as in the Mall Storeroom]]. Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background ambiance, but can come across as mild JumpScare.
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** What's even worse than ''that'' is that Stanley's actually dead. A phone call Heather receives wishes her a happy birthday and tells her that Stanley's new name is "7". Go to the basement where you have to solve the stretcher number puzzle and stand by the one with a 7 on it. That faint voice you just heard? That's Stanley ''whispering Heather's name.''

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** What's even worse than ''that'' is that Stanley's actually dead. A phone call Heather receives wishes her a happy birthday and tells her that Stanley's new name is "7"."#7". Go to the basement where you have to solve the stretcher number puzzle and stand by the one with a 7 on it. That faint voice you just heard? That's Stanley ''whispering Heather's name.''



* When climbing up a long red ladder that leads to the Otherworld hospital you pass Valtiel turning his valve, a corpse of a nurse and a large picture of Lisa's smile on the wall. This is not the last time you see this sorta thing happening, as Heather can witness more nurses getting tortured by Valtiel at different points of the Otherworld hospital.

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* When climbing up a long red ladder that leads to the Otherworld hospital hospital, you pass Valtiel turning his valve, a corpse of a nurse and a large picture of Lisa's smile on the wall. This is not the last time you see this sorta thing happening, as Heather can witness more nurses getting tortured by Valtiel at different points of the Otherworld hospital.



* In room S3 of the Otherworld hospital, there's [[https://static.tvtropes.org/pmwiki/pub/images/d4icwhuw4aakno5.jpg a hand reaching into the window.]] Heather will comment on it if you examine it, but that's it. It doesn't move, it doesn't attack you, it isn't part of a puzzle, the game doesn't play a creepy noise when you get close to it, it's just... there. [[NothingIsScarier And of course, you never find out who (or what) it belongs to, why they're reaching into the window, or if it's even still attached to anyone.]]

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* In room S3 of the Otherworld hospital, there's [[https://static.tvtropes.org/pmwiki/pub/images/d4icwhuw4aakno5.jpg a hand reaching into the window.]] window]]. Heather will comment on it if you examine it, but that's it. It doesn't move, it doesn't attack you, it isn't part of a puzzle, the game doesn't play a creepy noise when you get close to it, it's just... there. [[NothingIsScarier And of course, you never find out who (or what) it belongs to, why they're reaching into the window, or if it's even still attached to anyone.]]



The amusement park is notable for the fact that only its Otherworld is explored in gameplay, so technically it does belong in the Otherworld folder. However, it's in this folder for more ease in locating.
* Silent Hill 3 introduces Robbie the Rabbit, the Lakeside Amusement Park's mascot. This thing is for the most part completely immobile, but its aesthetic alone is ''more'' than enough to cause some long-term sleep apnea. Just the presence of Robbie suits in the park is jarring, and the fact that they're plentiful - and all ''dead'' - gives the locale a beautifully terrifying spice. In the right place at the right angle you can even see one or two Robbies under the grating of the amusement park. What on earth are they doing there?!

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The amusement park is notable for the fact that only its Otherworld is explored in gameplay, so it technically it does belong in the Otherworld folder. However, it's in this folder for more ease in locating.
* Silent Hill 3 introduces Robbie the Rabbit, the Lakeside Amusement Park's mascot. This thing is for the most part completely immobile, but its aesthetic alone is ''more'' than enough to cause some long-term sleep apnea. Just the presence of Robbie suits in the park is jarring, and the fact that they're plentiful - and all ''dead'' - gives the locale a beautifully terrifying spice. In the right place and at the right angle angle, you can even see one or two Robbies under the grating of the amusement park. What on earth are they doing there?!



** Thought that spike ceiling was bad enough? It gets worse. At best, it services as a nasty jump-scare, so nothing major, right? Wrong. On Hard Mode, that spike ceiling WILL fall low enough to kill Heather. The only way to survive it is by readying your weapon since Heather's ready posture is slightly lower than standing still and walking. There's no hints whatsoever to this and it comes as a nasty shock on a replay if the lower difficulty didn't kill you.
*** The spike room in the Borley Haunted Mansion is a puzzle that expects you to know the controls. The manual that came with the game very specifically tells you that you cannot accidentally walk over a ledge when walking in the weapon readied stance. The hint the room provides you (as the camera looks up at the ceiling) as the creepy narrator voice speaks is that the floor is very weak and could collapse at any time, suggesting you should look out for falling to your death (and walk in the readied stance to avoid it). If you've read the manual or if you learned that walking in the weapon ready stance prevents you from falling off pits, the puzzle makes sense. The main thing that likely throws off players is it's the first Silent Hill game where walking off a bottomless pit, or being knocked off into one by an enemy, is an actual constant threat due to the architecture of the Otherworld.
* And then at the end, there's the [[https://www.youtube.com/watch?v=nTT-2xYAKyE&t=3m24s red light chase]]. Heather is pursued through a series of maze-like corridors by a strange red light that will kill her outright once it engulfs her completely. You cannot pause the game at any moment. If you're unaware of the set of directions that you're supposed to follow in order to escape, you will be caught by surprise, as the walls will shift at the very moment you turn the corner you were headed for. The icing on the cake is [[HellIsThatNoise a shrill, high-pitched noise]] in the background as you attempt to make your way to the exit.

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** Thought that spike ceiling was bad enough? It gets worse. At best, it services as a nasty jump-scare, jumpscare, so nothing major, right? Wrong. On Hard Mode, that spike ceiling WILL fall low enough to kill Heather. The only way to survive it is by readying your weapon since Heather's ready posture is slightly lower than standing still and walking. There's no hints whatsoever to this and it comes as a nasty shock on a replay if the lower difficulty didn't kill you.
*** The spike room in the Borley Haunted Mansion is a puzzle that expects you to know the controls. The manual that came comes with the game very specifically tells you that you cannot accidentally walk over a ledge when walking in the weapon readied stance. The hint the room provides you (as the camera looks up at the ceiling) as the creepy narrator voice speaks is that the floor is very weak and could collapse at any time, suggesting you should look out for falling to your death (and walk in the readied stance to avoid it). If you've read the manual or if you learned that walking in the weapon ready stance prevents you from falling off pits, the puzzle makes sense. The main thing that likely throws off players is it's the first Silent Hill game where walking off a bottomless pit, or being knocked off into one by an enemy, is an actual constant threat due to the architecture of the Otherworld.
* And then at the end, there's the [[https://www.youtube.com/watch?v=nTT-2xYAKyE&t=3m24s red light chase]]. Heather is pursued through a series of maze-like corridors by a strange red light that will kill her outright once if it engulfs her completely. You cannot pause the game at any moment. If you're unaware of the set of directions that you're supposed to follow in order to escape, you will be caught by surprise, as the walls will shift at the very moment you turn the corner you were headed for. The icing on the cake is [[HellIsThatNoise a shrill, high-pitched noise]] in the background as you attempt to make your way to the exit.



* The carousel. It starts off creepy enough, with those weird, poison-breathing flesh horses you have to kill to progress. But when you do, the carousel starts sinking into the ground, and the horses turn into what can only described as ghost horses, while that creepy Otherworld music plays. And then the [[MirrorBoss Memory of Alessa]] shows up... Not to mention the horses cry out in pain when you hit them, almost as if they were alive... And you can't get to the next part until they're all "dead" once you can't damage them anymore and they revert to being inanimate objects.

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* The carousel. It starts off creepy enough, with those weird, poison-breathing flesh horses you have to kill to progress. But when you do, the carousel starts sinking into the ground, and the horses turn into what can only be described as ghost horses, while that creepy Otherworld music plays. And then the [[MirrorBoss Memory of Alessa]] shows up... Not to mention the horses cry out in pain when you hit them, almost as if they were alive... And you can't get to the next part until they're all "dead" once you can't damage them anymore and they revert to being inanimate objects.



* Try crossing the bridge in the center of the lower Underground Waterway area without using the dryer, and [[https://www.youtube.com/watch?v=9Zt3fCg2SKA a terrified Heather gets dragged underwater and killed by the monster lurking in the water]].
* The demo cinematic for Silent Hill 3 does a good job of showing sort of what you're in for - bits and pieces from the cutscenes, all set to "You're Not Here", which makes it quite an enjoyable opening... until, for a brief few seconds, you see an dead Heather on the ground while a humanoid monster picks up and [[https://www.youtube.com/watch?v=r9gO4hL1jvQ&t=1m16s spreads her legs apart]]. Knowing that it's Valtiel about to drag her dead body off to complete the rebirth of God only slightly lessens the impact.

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* Try crossing the bridge in the center of the lower Underground Waterway area without using the dryer, and [[https://www.youtube.com/watch?v=9Zt3fCg2SKA a terrified Heather gets dragged underwater and killed by the monster lurking in the water]].
there]].
* The demo cinematic for Silent Hill 3 does a good job of showing sort of what you're in for - bits and pieces from the cutscenes, all set to "You're Not Here", which makes it quite an enjoyable opening... until, for a brief few seconds, you see an a dead Heather on the ground while a humanoid monster picks up and [[https://www.youtube.com/watch?v=r9gO4hL1jvQ&t=1m16s spreads her legs apart]]. Knowing that it's Valtiel about to drag her dead body off to complete the rebirth of God only slightly lessens the impact.



** If you load a saved game for the Mall Storeroom, there's a chance you might heartbeat-like pounding somewhere nearby as if some massive creature is moving towards you. You might get tense about leaving the room, and there's no apparent noise source to be found.
** [[https://www.youtube.com/watch?v=JT0Im48hjRk&t=1m33s If you explore the back of the Otherworld Boutique Marguerite after getting the hanger,]] [[JumpScare you'll hear a loud BANG from behind you that sounds like a shelf collapsing.]]
** There's a spot in the underpass where if you head toward a particular dead end, a [[https://www.youtube.com/watch?v=G9_C-TGSC8A&t=1m43s faraway-sounding voice yells, "Nooo!"]] It might momentarily stop your heart, and make you question if you really just heard that, or if it was just your imagination...
** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast moderately-heavy footsteps can be heard, seemingly coming up from below.]] Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background ambiance, but can come across as mild JumpScare.
** Similarly, when you get on the roller coaster tracks in Heather's nightmare at the beginning of the game, [[https://www.youtube.com/watch?v=JT0Im48hjRk&t=0m07s you can hear a woman scream, followed by something growling and the sounds of tearing meat.]]

to:

** If you load a saved game for the Mall Storeroom, there's a chance you might hear heartbeat-like pounding somewhere nearby as if some massive creature is moving towards you. You might get tense about leaving the room, and there's no apparent noise source to be found.
** [[https://www.youtube.com/watch?v=JT0Im48hjRk&t=1m33s If you explore the back of the Otherworld Boutique Marguerite after getting the hanger,]] hanger]], [[JumpScare you'll hear a loud BANG from behind you that sounds like a shelf collapsing.]]
collapsing]].
** There's a spot in the underpass where where, if you head toward a particular dead end, a [[https://www.youtube.com/watch?v=G9_C-TGSC8A&t=1m43s faraway-sounding voice yells, "Nooo!"]] It might momentarily stop your heart, and make you question if you really just heard that, or if it was just your imagination...
** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast fast, moderately-heavy footsteps can be heard, seemingly coming up from below.]] below]]. Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background ambiance, but can come across as mild JumpScare.
** Similarly, when you get on the roller coaster tracks in Heather's nightmare at the beginning of the game, [[https://www.youtube.com/watch?v=JT0Im48hjRk&t=0m07s you can hear a woman scream, followed by something growling and the sounds of tearing meat.]]meat]].



* The player's very first visit to the Otherworld (not counting Heather's nightmare at the beginning of the game) is one of the most terrifying parts of the game. It starts with Heather getting off an elevator in the Mall, [[https://www.youtube.com/watch?v=fBxl98INEk0&t=0m32s which opens directly to another elevator that looks more like a rusty cage, in an elevator shaft that looks like it's lined with human flesh]], and right next to Valtiel and another monster [[NothingIsScarier that we don't get a good look at.]] Once she gets out of it, Heather finds herself in a darker, more decrepit version of the already dark and decrepit mall, with the aforementioned "The Nightmare Mall" playing, and surrounded by the sounds of Double Heads devouring corpses and howling. Not only that, but there's a pack of them headed right for her, [[EventObscuringCamera hidden by the camera angle]].

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* The player's very first visit to the Otherworld (not counting Heather's nightmare at the beginning of the game) is one of the most terrifying parts of the game. It starts with Heather getting off an elevator in the Mall, mall, [[https://www.youtube.com/watch?v=fBxl98INEk0&t=0m32s which opens directly to another elevator that looks more like a rusty cage, in an elevator shaft that looks like it's lined with human flesh]], and right next to Valtiel and another monster [[NothingIsScarier that we don't get a good look at.]] at]]. Once she gets out of it, Heather finds herself in a darker, more decrepit version of the already dark and decrepit mall, with the aforementioned "The Nightmare Mall" playing, and surrounded by the sounds of Double Heads devouring corpses and howling. Not only that, but there's a pack of them headed right for her, [[EventObscuringCamera hidden by the camera angle]].



* During the final confrontation with Claudia, Heather's body begins to convulse in pain and the surface of her skin begins to be stained in blood and bruises all the while, signalling the arrival of God within her womb. Either scene will happen depending on what the player does next, and neither scene is pleasant:

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* During the final confrontation with Claudia, Heather's body begins to convulse in pain and the surface of her skin begins to be stained in blood and bruises all the while, signalling the arrival of God within her womb. Either scene will happen depending on what the player does next, and neither scene is pleasant:



* One room in the Otherworld chapel has four Scrapers in it. Also, there is nothing in this room of value. Just Scrapers.
* Another room is dark and covered in strange pulsing material... if you wait a while it slowly begins to clear and then form strange moving patterns unseen anywhere else in the game. To make things worse, on a New Game+, the long hallway leading from the next train station to the sewers will not only have this appearance, but will actually drain your health as well!
* There's bodies covered in bloody sheets on stretchers found all throughout the Otherworlds. Sometimes body parts such as legs appear to be lying beside the stretchers. Also bloodied and disfigured bodies seem to be hanging in cages or on wires in some Otherworlds like in the Hilltop Center. In the stairwell of the Hilltop Center, Heather comments that one of the bodies seems like it was hanged but also has burn marks on it.
* The Otherworld mall, with its dark corners and unnerving music, is pretty scary. Down one particular path past a giant fan there's little to be found except a body on a gurney, that and [[https://www.youtube.com/watch?v=8zimIFiiAzk&t=28m59s some creepy female howling and moaning coming from behind the walls somewhere...]]

to:

* One room in the Otherworld chapel has four Scrapers in it. Also, there There is nothing in this room of value. Just Scrapers.
* Another room is dark and covered in strange pulsing material... if you wait a while while, it slowly begins to clear and then form forms strange moving patterns unseen anywhere else in the game. To make things worse, on a New Game+, the long hallway leading from the next train station to the sewers will not only have this appearance, but will actually drain your health as well!
* There's bodies covered in bloody sheets on stretchers found all throughout the Otherworlds. Sometimes body parts such as legs appear to be lying beside the stretchers. Also Also, bloodied and disfigured bodies seem to be hanging in cages or on wires in some Otherworlds like in the Hilltop Center. In the stairwell of the Hilltop Center, Heather comments that one of the bodies seems like it was hanged but also has burn marks on it.
* The Otherworld mall, with its dark corners and unnerving music, is pretty scary. Down one particular path past a giant fan fan, there's little to be found except a body on a gurney, gurney; that and [[https://www.youtube.com/watch?v=8zimIFiiAzk&t=28m59s some creepy female howling and moaning coming from behind the walls somewhere...]]



* The FinalBoss is a very disturbing-looking creature: A deformed, giant monster resembling an adult Alessa, she has a desiccated torso and no lower legs. The face on her skin has a strange and very visible netting, she never opens her eyes, and she has bloodstained gloves on her hands. It's horrific to imagine that Heather was supposed to "give birth" to or otherwise transform into ''this''.

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* The FinalBoss is a very disturbing-looking creature: A deformed, giant monster resembling an adult Alessa, she has a desiccated torso and no lower legs. The face skin on her skin face has a strange and very visible netting, she never opens her eyes, and she has bloodstained gloves on her hands. It's horrific to imagine that Heather was supposed to "give birth" to or otherwise transform into ''this''.
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[[folder:The Otherworld]]

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[[folder:The Otherworld]]Otherworld Misc.]]
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* On Hard Riddle mode, there's a poem that starts out talking about someone's beautiful eyes, and [[MoodWhiplash ends up being about]] [[EyeScream gouging said person's eyes out]]... while [[FetishRetardant continuing to proclaim his demented lust for said someone]]. It's a clue to unlocking one of the doors to the patient wards. Even worse, there's the possibility that [[StalkerWithACrush Stanley]] wrote this poem for Heather. And it's heavily implied that it was written by the chief of the hospital. You know, the same one that [[KickTheSonOfABitch locked a nurse in a padded cell for abusing one of the patients.]]

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* On Hard Riddle mode, there's a poem that starts out talking about someone's beautiful eyes, and [[MoodWhiplash ends up being about]] [[EyeScream gouging said person's eyes out]]... while [[FetishRetardant continuing to proclaim his demented lust for said someone]]. It's a clue to unlocking one of the doors to the patient wards. Even worse, there's the possibility that [[StalkerWithACrush Stanley]] wrote this poem for Heather. And it's heavily implied that it was written by the chief of the hospital. You know, the same one that [[KickTheSonOfABitch [[AssholeVictim locked a nurse in a padded cell for abusing one of the patients.]]
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* The player's very first visit to the Otherworld (not counting Heather's nightmare at the beginning of the game) is one of the most terrifying parts of the game. It starts with Heather getting off an elevator in the Mall, [[https://www.youtube.com/watch?v=fBxl98INEk0&t=0m32s which opens directly to another elevator that looks more like a rusty cage, in an elevator shaft that looks like it's lined with human flesh]], and right next to Valtiel and another monster [[NothingIsScarier that we don't get a good look at.]] Once she gets out of it, Heather finds herself in a darker, more decrepit version of the already dark and decrepit mall, with the aforementioned "The Nightmare Mall" playing, and surrounded by the sounds of Double Heads devouring corpses and howling. Not only that, but there's a pack of them headed right for her, [[CameraScrew hidden by the camera angle]].

to:

* The player's very first visit to the Otherworld (not counting Heather's nightmare at the beginning of the game) is one of the most terrifying parts of the game. It starts with Heather getting off an elevator in the Mall, [[https://www.youtube.com/watch?v=fBxl98INEk0&t=0m32s which opens directly to another elevator that looks more like a rusty cage, in an elevator shaft that looks like it's lined with human flesh]], and right next to Valtiel and another monster [[NothingIsScarier that we don't get a good look at.]] Once she gets out of it, Heather finds herself in a darker, more decrepit version of the already dark and decrepit mall, with the aforementioned "The Nightmare Mall" playing, and surrounded by the sounds of Double Heads devouring corpses and howling. Not only that, but there's a pack of them headed right for her, [[CameraScrew [[EventObscuringCamera hidden by the camera angle]].
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* Brookhaven is bad enough on its own, but it's especially unnerving if you played ''VideoGame/SilentHill2'' before this and remember how creepy and disturbing it was with its severely cramped hallways and nurses popping up everywhere. And as one would expect, it's even WORSE here, especially since some of those shambling nurses are carrying ''freakin' guns'' this time around. Unlike the forlorn, moldering Otherworld that James saw, Brookhaven now features the familiar, hellish "blood & rust" imagery of Alessa's nightmares, and the walls in most corridors have a strange shimmering effect that makes them seem almost ''alive''.

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* Brookhaven is bad enough on its own, but it's especially unnerving if you played ''VideoGame/SilentHill2'' before this and remember how creepy and disturbing it was with its severely cramped hallways and nurses popping up everywhere. And as one would expect, it's even WORSE here, especially since some of those shambling nurses are carrying ''freakin' guns'' this time around. Unlike the forlorn, moldering Otherworld that James saw, Brookhaven now features the familiar, hellish "blood & rust" imagery of Alessa's nightmares, and the walls in most corridors have a strange shimmering effect that makes them seem almost ''alive''.''alive'', punctuated by [[https://www.youtube.com/watch?v=RcQBS_Lv04k&list=PL01AF6A13CE0FD9C9&index=18 this incredibly unnerving soundtrack]].
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* Brookhaven is bad enough on its own, but it's especially unnerving if you played ''VideoGame/SilentHill2'' before this and remember how creepy and disturbing it was with its severely cramped hallways and nurses popping up everywhere. And as one would expect, it's even WORSE here, especially since some of those shambling nurses are carrying ''freakin' guns'' this time around. Unlike the forlorn, moldering Otherworld that James saw, Brookhaven now features the familiar, hellish "blood & rust" imagery of Alessa's nightmares, and the walls in most corridors have a strange shimmering effect that makes them seem almost''alive''.

to:

* Brookhaven is bad enough on its own, but it's especially unnerving if you played ''VideoGame/SilentHill2'' before this and remember how creepy and disturbing it was with its severely cramped hallways and nurses popping up everywhere. And as one would expect, it's even WORSE here, especially since some of those shambling nurses are carrying ''freakin' guns'' this time around. Unlike the forlorn, moldering Otherworld that James saw, Brookhaven now features the familiar, hellish "blood & rust" imagery of Alessa's nightmares, and the walls in most corridors have a strange shimmering effect that makes them seem almost''alive''.almost ''alive''.
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* Brookhaven is bad enough on its own, but it's especially unnerving if you played ''VideoGame/SilentHill2'' before this and remember how creepy and disturbing it was with its severely cramped hallways and nurses popping up everywhere. And as one would expect, it's even WORSE here, especially since some of those shambling nurses are carrying ''freakin' guns'' this time around...

to:

* Brookhaven is bad enough on its own, but it's especially unnerving if you played ''VideoGame/SilentHill2'' before this and remember how creepy and disturbing it was with its severely cramped hallways and nurses popping up everywhere. And as one would expect, it's even WORSE here, especially since some of those shambling nurses are carrying ''freakin' guns'' this time around...around. Unlike the forlorn, moldering Otherworld that James saw, Brookhaven now features the familiar, hellish "blood & rust" imagery of Alessa's nightmares, and the walls in most corridors have a strange shimmering effect that makes them seem almost''alive''.



* In room S3 of the Otherworld hospital, there's [[https://static.tvtropes.org/pmwiki/pub/images/d4icwhuw4aakno5.jpg a hand reaching into the window.]] Heather will comment on it if you examine it, but that's it. It doesn't move, it doesn't attack you, it isn't part of a puzzle, the game doesn't play a creepy noise when you get close to it, it's just... there. [[NothingIsScarier And of course, you never find out who (or what) it belongs to, or why they're reaching into the window.]]

to:

* In room S3 of the Otherworld hospital, there's [[https://static.tvtropes.org/pmwiki/pub/images/d4icwhuw4aakno5.jpg a hand reaching into the window.]] Heather will comment on it if you examine it, but that's it. It doesn't move, it doesn't attack you, it isn't part of a puzzle, the game doesn't play a creepy noise when you get close to it, it's just... there. [[NothingIsScarier And of course, you never find out who (or what) it belongs to, or why they're reaching into the window.window, or if it's even still attached to anyone.]]
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** The Otherworld Hospital in 3 makes the one in 2 look like a kindergarten school in comparison. ''Everything'' there looks demonic to some extent, with bright, bloody walls featuring moving black tendrils, a dark abyss that blasts infernal noises coming from unseen machinery and even some monsters getting gratuitously tortured behind unexplained glass walls (and in one case, inside a random locker).
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** The Otherworld Hospital in 3 makes the one in 2 look like a kindergarten school in comparison. ''Everything'' there looks demonic to some extent, with bright, bloody walls featuring moving black tendrils, a dark abyss that blasts some infernal noises coming from unseen machinery and even some monsters getting gratuitously tortured behind unexplained glass walls (and in one case, inside a random locker).

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** The Otherworld Hospital in 3 makes the one in 2 look like a kindergarten school in comparison. ''Everything'' there looks demonic to some extent, with bright, bloody walls featuring moving black tendrils, a dark abyss that blasts some infernal noises coming from unseen machinery and even some monsters getting gratuitously tortured behind unexplained glass walls (and in one case, inside a random locker).
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** The Otherworld Hospital in 3 makes the one in 2 look like a kindergarten school in comparison. ''Everything'' there looks demonic to some extent, with bright, bloody walls featuring moving black tendrils, a dark abyss that blasts some infernal noises coming from unseen machinery and even some monsters getting gratuitously tortured behind unexplained glass walls.

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** The Otherworld Hospital in 3 makes the one in 2 look like a kindergarten school in comparison. ''Everything'' there looks demonic to some extent, with bright, bloody walls featuring moving black tendrils, a dark abyss that blasts some infernal noises coming from unseen machinery and even some monsters getting gratuitously tortured behind unexplained glass walls.walls (and in one case, inside a random locker).
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Added DiffLines:

** The Otherworld Hospital in 3 makes the one in 2 look like a kindergarten school in comparison. ''Everything'' there looks demonic to some extent, with bright, bloody walls featuring moving black tendrils, a dark abyss that blasts some infernal noises coming from unseen machinery and even some monsters getting gratuitously tortured behind unexplained glass walls.
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* When climbing up a long red ladder in the Otherworld hospital you pass Valtiel turning his valve, a corpse of a nurse and a large picture of Lisa's smile on the wall.

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* When climbing up a long red ladder in that leads to the Otherworld hospital you pass Valtiel turning his valve, a corpse of a nurse and a large picture of Lisa's smile on the wall.wall. This is not the last time you see this sorta thing happening, as Heather can witness more nurses getting tortured by Valtiel at different points of the Otherworld hospital.
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Removing first-person writing


* The carousel. It starts off creepy enough, with those weird, poison-breathing flesh horses you have to kill to progress. But when you do, the carousel starts sinking into the ground, and the horses turn into what I can only describe as ghost horses, while that creepy Otherworld music plays. And then the [[MirrorBoss Memory of Alessa]] shows up... Not to mention the horses cry out in pain when you hit them, almost as if they were alive... And you can't get to the next part until they're all "dead" once you can't damage them anymore and they revert to being inanimate objects.

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* The carousel. It starts off creepy enough, with those weird, poison-breathing flesh horses you have to kill to progress. But when you do, the carousel starts sinking into the ground, and the horses turn into what I can only describe described as ghost horses, while that creepy Otherworld music plays. And then the [[MirrorBoss Memory of Alessa]] shows up... Not to mention the horses cry out in pain when you hit them, almost as if they were alive... And you can't get to the next part until they're all "dead" once you can't damage them anymore and they revert to being inanimate objects.
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* [[WhamLine "Monsters? They looked like monsters to you?"]] Vincent may have been kidding, but still, it really makes you wonder... [[ParanoiaFuel was he]] ''[[ParanoiaFuel really?]]''

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* [[WhamLine "Monsters? "Monsters...? They looked like monsters to you?"]] Vincent may have been kidding, but still, it really makes you wonder... [[ParanoiaFuel was he]] ''[[ParanoiaFuel really?]]''
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** [[https://www.youtube.com/watch?v=mLNpDHNPQS0 "Prayer"]], built around a drumbeat and a very ominous, deep voice chanting endlessly. It makes the final corridor leading up to the final confrontation with Claudia and Vincent even more tense.

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** [[https://www.youtube.com/watch?v=mLNpDHNPQS0 com/watch?v=xFfOBTTrs_c "Prayer"]], built around a drumbeat and a very ominous, deep voice chanting endlessly. It makes the final corridor leading up to the final confrontation with Claudia and Vincent even more tense.
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* On Hard Riddle mode, there's a poem that starts out talking about someone's beautiful eyes, and ends up being about [[EyeScream gouging said person's eyes out]]... while continuing to proclaim his demented lust for said someone. It's a clue to unlocking one of the doors to the patient wards. Even worse, there's the possibility that [[StalkerWithACrush Stanley]] wrote this poem for Heather. And it's heavily implied that it was written by the chief of the hospital. You know, the same one that [[KickTheSonOfABitch locked a nurse in a padded cell for abusing one of the patients.]]

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* On Hard Riddle mode, there's a poem that starts out talking about someone's beautiful eyes, and [[MoodWhiplash ends up being about about]] [[EyeScream gouging said person's eyes out]]... while [[FetishRetardant continuing to proclaim his demented lust for said someone.someone]]. It's a clue to unlocking one of the doors to the patient wards. Even worse, there's the possibility that [[StalkerWithACrush Stanley]] wrote this poem for Heather. And it's heavily implied that it was written by the chief of the hospital. You know, the same one that [[KickTheSonOfABitch locked a nurse in a padded cell for abusing one of the patients.]]



* And then at the end, there's the [[https://www.youtube.com/watch?v=nTT-2xYAKyE&t=3m24s red light chase]]. Heather is pursued through a series of maze-like corridors by a strange red light that will kill her outright once it engulfs her completely. You cannot pause the game at any moment. If you're unaware of the set of directions that you're supposed to follow in order to escape, you will be caught by surprise, as the walls will shift at the very moment you turn the corner you were headed for. The icing on the cake is a shrill, high-pitched noise in the background as you attempt to make your way to the exit.

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* And then at the end, there's the [[https://www.youtube.com/watch?v=nTT-2xYAKyE&t=3m24s red light chase]]. Heather is pursued through a series of maze-like corridors by a strange red light that will kill her outright once it engulfs her completely. You cannot pause the game at any moment. If you're unaware of the set of directions that you're supposed to follow in order to escape, you will be caught by surprise, as the walls will shift at the very moment you turn the corner you were headed for. The icing on the cake is [[HellIsThatNoise a shrill, high-pitched noise noise]] in the background as you attempt to make your way to the exit.

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** If you load a saved game for the Mall Storeroom, there's a chance you might heartbeat-like pounding somewhere nearby as if some massive creature is moving towards you. You might get tense about leaving the room, and there's no apparent noise source to be found.
** [[https://www.youtube.com/watch?v=JT0Im48hjRk&t=1m33s If you explore the back of the Otherworld Boutique Marguerite after getting the hanger,]] [[JumpScare you'll hear a loud BANG from behind you that sounds like a shelf collapsing.]]



** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast moderately-heavy footsteps can be heard, seemingly coming up from below.]] Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background ambiance, but can come across as mild JumpScare.



** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast moderately-heavy footsteps can be heard, seemingly coming up from below.]] Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background ambiance, but can come across as mild JumpScare. [[note]]The sound (or a facsimile) can also be heard on occasion when loading a save file for the Mall Storeroom.[[/note]]
** [[https://www.youtube.com/watch?v=JT0Im48hjRk&t=1m33s If you explore the back of the Otherworld Boutique Marguerite after getting the hanger,]] [[JumpScare you'll hear a loud BANG from behind you that sounds like a shelf collapsing.]]
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** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast moderately-heavy footsteps can be heard, seemingly coming up from below.]] Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background ambiance, but can come across as mild JumpScare. [[note]]The sound (or a facsimile) can also be heard on occasion when loading a game in the Mall Storeroom.[[/note]]

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** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast moderately-heavy footsteps can be heard, seemingly coming up from below.]] Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background ambiance, but can come across as mild JumpScare. [[note]]The sound (or a facsimile) can also be heard on occasion when loading a game in save file for the Mall Storeroom.[[/note]]
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** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast moderately-heavy footsteps can be heard, seemingly coming up from below.]] Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background to level ambiance, but can come across as mild JumpScare.

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** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast moderately-heavy footsteps can be heard, seemingly coming up from below.]] Nothing is there. The scare seems to manifest due to Akira Yamaoka's soundtrack rather than background to level ambiance, but can come across as mild JumpScare.JumpScare. [[note]]The sound (or a facsimile) can also be heard on occasion when loading a game in the Mall Storeroom.[[/note]]
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** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast moderately-heavy footsteps can be heard, seemingly coming up from below.]] Nothing is there. (The scare itself manifests possibly due to Akira Yamaoka's soundtrack rather than due to level ambiance.)

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** At the construction site area of the game, the player comes to a flight of stairs that they must climb all the way to the top. The trip is pretty uneventful, with the area being nearly dead silent, but once the top is reached and the doorway is crossed, there is a chance that [[https://www.youtube.com/watch?v=Bb7ypmx-Zz4&t=0m07s fast moderately-heavy footsteps can be heard, seemingly coming up from below.]] Nothing is there. (The The scare itself manifests possibly seems to manifest due to Akira Yamaoka's soundtrack rather than due background to level ambiance.)ambiance, but can come across as mild JumpScare.

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* Not long before the final boss battle, Heather vomits up the fetus of the "god" which was developing inside her, and Claudia, who desperately wants the "god" to be born, ''eats the fetus, and births it herself''.

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* Not long before During the final boss battle, confrontation with Claudia, Heather's body begins to convulse in pain and the surface of her skin begins to be stained in blood and bruises all the while, signalling the arrival of God within her womb. Either scene will happen depending on what the player does next, and neither scene is pleasant:
** If
Heather vomits up attacks Claudia or tries to leave, her body finally gives out and begins to birth God, essentially killing her and thus dooming the world.
** Once Heather takes the aglaophotis hidden in her pendant and swallows it, she literally ''vomits up''
the fetus of the "god" which was developing inside her, and Claudia, who desperately wants the "god" God. Upon recovering, Heather then decides to be born, ''eats stomp on it to kill God, only for Claudia to push her away, picks up the fetus, and births it herself''.''swallow it'' to birth God herself. Shortly afterwards, Claudia's skin also flares up as she writhes in pain, and is then snatched away by Valtiel before we see the birthing process for ourselves.

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