There were no siren changes to the "other" world, a flashlight, or a radio. Instead there is a nifty first person view point and a linited inventory. Otherwise it is the same game. creepy monsters, creepy cult, "innocent" bystanders.The psychological horror is still there, most of the killable monsters are creations of Walter's psyche and the room hauntings. Konomi just wanted to get away from the " I got to go to Silent Hill to find ______." storyline.
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