Base-Breaking Character: Lisa in this game. A lot of fans did not like the portrayal of Lisa here, who was less kind than her portrayal in Silent Hill, and was a significant Mood-Swinger. Given that the Lisa in the original Silent Hill was a re-creation of the original from the memories of Alessa, it makes a certain amount of sense that that Lisa was practically angelic. This game also seems to show the effects of the drugs she took that Dr. Kaufmann supplied for her; this was alluded to in the original game but never actually seen.
Complete Monster: Dahlia somehow managed to be worse than in the original Silent Hill.
The Game Over screen is accompanied by a truck horn. Yeah, we know Travis is a trucker and all, but it's still very silly. It's not even particularly demonic; you could easily mistake it for the game's sound data glitching out.