* ContestedSequel: By far the most polarizing of the Team Silent entries. Even those who like it have trouble seeing it as a sequel; it's basically a slasher movie, while the previous games used a much more purgatorial theme.
* FoeYay: Walter persistently stalks Henry, addresses him as "the Receiver", and speaks in what many interpret to be a [[TermsOfEndangerment creepily affectionate manner]].
* GoodBadBugs: When you're at the EscortMission part of the game and have returned to Building World, there's a way to teleport Eileen to a part of the map normally inaccessible to her without solving a time-consuming puzzle. Very convenient for speedruns, as well as for those who just want the EscortMission phase of the game over with.
** There's also a random bug which fits the second half of this trope: for no apparent reason, however careful you might be with Eileen, at random points in the game, she might suddenly be fully haunted by Walter. At the very least, though, she can be (temporarily) treated with a Holy Candle, like a regular haunting. This second bug might occasionally coincide with the first, although it's relatively rare for this bug to happen.
* HilariousInHindsight: [[Film/TheRoom Does Tommy Wiseau appear in the game?]]
** Come to think of it, Adult Walter does look a bit like Tommy Wiseau. And not only did he [[spoiler:kill himself]], he did so with a spoon...
** Those double-headed baby ''things''[[note]] Officially called the Twin Victims. [[/note]]. As if their appearances weren't already creepy enough, when you first seem them, they're pointing right at you! One of the scariest parts of the game, in fact, is having to face a grand total of ''six'' of them, all at once, in a long corridor! Thankfully, Eileen is with you at this point to help you take them on, but seeing them blocking your way and pointing at you from afar is truly the stuff of nightmares.
** A lot of the hauntings are creepy, but the shabby doll one probably takes the cake.
** Wow, this is a long hallway, why are there so many doors? Okay, let's open this one -- wait, what's that breathi... AAAAAGH, BIG GIANT HEAD!!!!!
*** And its accompaniment: [[http://www.youtube.com/watch?v=Qsm_-cvtv1A this sound]]. (Warning: NSFW audio. '''DO NOT''' play without headphones on, to avoid any awkward moments with anyone overhearing [[TheImmodestOrgasm this.]])
** And, of course, the titular Room itself.
* NightmareRetardant: The belching Patients. [[http://www.youtube.com/watch?v=TiDz69EqlFk Good luck figuring that one out]].
** Even more so if a Patient is knocked over on a staircase, causing them to belch repeatedly as the model gets knocked down the flight one step at a time.
** And for some, the Victim Ghost version of Henry is UglyCute.
** Henry's [[DullSurprise non-reactions]] to the world around him can ruin the impact of some of the cutscenes too.
** The idea of suddenly being locked in your home, able to observe the outside world, but not contact it.
** Most of your time in Henry's apartment will be spent gawking at Eileen and your other neighbors through various peepholes.
** At the same time, things will move around in your apartment while you're off exploring other worlds. Two sections of the game are spent trawling through a tiny panopticon. Oh, and both the phone and the bunny are watching you.
** Ingame when you're in the second half, cre[[OhCrap eeak]]... [[ImplacableMan *bang bang bang* Hahahaha...]]
** There's also the [[spoiler:corpse of Walter stashed in a secret walled-off room in your apartment]]. Sweet dreams!
* TheScrappy: Henry is disliked for coming off as dull, unemotional and being [[FlatCharacter lacking in character development]] compared to Silent Hill protagonists before or since. Spouting many of the game's dumber lines certainly contributes.
* ScrappyMechanic: The game puts a much greater emphasis on fighting compared to ''Silent Hill'' 1-3 . Unlike its predecessors, though, ammo is ''extremely'' limited here, even on the easiest difficulty settings, making the two handguns you get TooAwesomeToUse and forcing you to rely on the awkward, sluggish melee combat (which, apart from a charging meter, is identical to that of its predecessors) instead. Incidentally, there's an apartment filled with unusable toy replicas of the guns from earlier games, seemingly put in just to taunt the player.
* SoOkayItsAverage: The game ''does'' have it's fans for bringing something so different to the franchise and for being the last game developed by Team Silent. The most consistent complaints tend to revolve around the lengthy escort missions and frustrating inventory system but this is evened out by the game's unique story and how it fleshes out lore (especially as it pertains to ''VideoGame/SilentHill2''). It also does help that this game isn't ''as polarizing'' as its [[VideoGame/SilentHillHomecoming American]] [[VideoGame/SilentHillDownpour successors]].
** Henry, once universally detested as the weakest Silent Hill protagonist, managed to retroactively become tolerable or at least not ''as'' hated as before though not quite [[RescuedFromTheScrappyHeap rescued]]. Unlike Harry, Heather, and ''especially'' James, Henry not only has no connection to the story outside of just happening to live in Room 302, his personality is also extremely unengaging to the point that his [[DullSurprise reactions]] often spoil the mood. But then the sequels tried to copy the original games formula by making every new protagonist have a tragic backstory often repressed by guilt that they became shallow ripoffs. Suddenly, Henry's simple motivation to just get out of his apartment was very refreshing.
* TheyChangedItNowItSucks: Some fans complain about how the gameplay is quite different from the previous ''Silent Hill'' games. You don't use a flashlight, you can only hold ten items at a time, and the game isn't as puzzle-oriented as its predecessors. And it is saddled with the (false) rumor that this is just a DolledUpInstallment. Though compared to the [[VideoGame/SilentHillHomecoming other]] [[VideoGame/SilentHillShatteredMemories Silent]] [[VideoGame/SilentHillDownpour Hill]] [[VideoGame/SilentHillBookOfMemories games]] released after 4, this one doesn't have that much hate as it used to have.
** Though WordOfGod has said multiple times that The Room wasn't originally supposed to be a SH game, but it was rather inspired by it and made by the Team Silent B-Team (watch Twin Perfects TRSHE Silent Hill 4 revisit to see the confirmations). It's unknown exactly when The Room was changed to become a Silent Hill game, but it can be better accepted as a GaidenGame than a true sequel. (Plus for some people it's a better SH game in spirit than [[VideoGame/SilentHillOrigins than]] [[VideoGame/SilentHillHomecoming the]] [[VideoGame/SilentHillShatteredMemories later]] [[VideoGame/SilentHillDownpour sequels]]).