Silent Hill

Silent Hill blends combat, exploration, and puzzle-solving as players guide Harry through the fog-shrouded town of Silent Hill in search of his missing daughter. As he confronts grotesque monsters armed only with melee weapons and firearms, players must carefully manage his limited health and resources to survive. Special thanks to GamePhobias for pulling together a lot of the information below.

• Release date: 02-23-1999
• Developer: Team Silent
• Publisher: Konami
• Platforms: PlayStation 1, PlayStation 3, PlayStation Portable (PSP), PlayStation Vita

Triggers for this game

Animals & Wildlife

• Cats

  ShowHide potential spoilers or triggers

  A cat jumps out of a locker and leaves, but then squealing & squelching noises are heard.

  • Can't be avoided

• Dogs

  Mutated dog enemies & corpses

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  Skinned dog enemies will attack you & you can choose whether or not to fight them

  • Can't be avoided

• Insects

  Enemies that resemble insects (cockroaches, moths, centipedes, parasites)

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  Cockroaches in sewers, centipedes in shopping mall

  • Can't be avoided

• Mutated Animals

  Mutated dog enemies & corpses, enemies that resemble insects and reptiles

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  Reptiles — the air screamer/pterodactyl, a boss in the elementary school, enemies in sewer level

  • Can't be avoided

• Parasites

  Enemies that resemble insects (cockroaches, moths, centipedes, parasites)

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  Parasites can control Puppet Nurses, Puppet Doctors, Cybil, and Lisa

  • Can't be avoided

Crime

• Guns & Shooting

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  The first weapon you find is a gun and you must use it once. However, you don't have to use guns past that point. You will find a shotgun in the elementary school you can use, should you choose to. You are attacked by two characters who have guns (in the hospital and by the Puppet Cybil boss).

  • Can't be avoided

• Kidnapping

  ShowHide potential spoilers or triggers

  The cult purposefully lured Harry and his daughter to kidnap Cheryl

  • Can't be avoided

• Murder

  • Can't be avoided

• Road-Related Violence

  Car crash

  • Can't be avoided

• Torture

  • Can't be avoided

Death & Loss

• Abandonment

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  Harry’s daughter Cheryl was abandoned on the side of a highway by her real parents.

  • Can't be avoided

• Death of Parent

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  The protagonist's wife and his child's mother dies before gameplay. Harry can also die.

  • Can't be avoided

• Death of Spouse or Partner

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  The protagonist's wife and his child's mother dies before gameplay

  • Can't be avoided

• Missing Person(s)

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  The protagonist's child goes missing at the start of the game

  • Can't be avoided

Disturbing Sounds & Sound Design

• Misc. Eerie Noises

  • Can't be avoided

• Screams

  • Can't be avoided

• Sirens & Alarms

  • Can't be avoided

• Wet Sounds

  • Can't be avoided

Drugs & Alcohol

• Drug Addiction

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  History of drug use and withdrawal detailed in journals

  • Is avoidable

• Drug Sales & Drug Running

  References to drug use (selling, can find stash, but no on-screen use)

  ShowHide potential spoilers or triggers

  Kaufmann is revealed to be selling the fictional drug PTV. You find his stash in the Indian Runner store but leave it alone. Can be avoided by not taking the Kaufmann side quest, but please note this may affect the game ending you receive.

  • Is avoidable

Financial & Resource Management

• Scarcity

  Resources, weapons, items, and health

  • Can't be avoided

Gore

• Amputation

  • Can't be avoided

• Animal Violence

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  Skinned dog enemies will attack you & you can choose whether or not to fight them

  • Can't be avoided

• Beheading

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  Severed dog's head can be found & protagonist will comment on it if examined

  • Can't be avoided

• Blood

  Blood is very present in this game

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  In the hospital, you need to find a blood pack. After Lisa's "I'm just like them" speech, she will bleed a lot.

  • Can't be avoided

• Body Horror

  • Can't be avoided

• Dismemberment

  Various dismembered body parts

  • Can't be avoided

• Guts

  • Can't be avoided

• Misc. Gore

  • Can't be avoided

• Viscera

  • Can't be avoided

Hate & Discrimination

• Dehumanization & Objectification

  ShowHide potential spoilers or triggers

  Alessa is regularly made to feel as though she's only there to birth the cult's god.

  • Can't be avoided

Horror Themes

• Demons & Devils

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  Many monster resemble demons or paranormal beings. Demons appear from a woman's back in the optional Kaufmann side quest (can be avoided by avoiding the side quest). The final boss may look demonic if you have completed the Kaufmann side quest.

• Ghosts & Hauntings

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  Poltergeists mentioned in books in the elementary school (can avoid by not reading the books)

  • Is avoidable

• Jump Scares

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  After meeting Cybil, in the elementary school locker room, loud noises in multiple areas in the hospital, TV turn on by themselves in the mall, floor will fall out from under you in the mall, sewer levels feature enemies coming out of the water suddenly

  • Can't be avoided

• Mind Control

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  Parasites can control Puppet Nurses, Puppet Doctors, Cybil, and Lisa

  • Can't be avoided

• Monsters

  • Can't be avoided

• Possession

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  Parasites can control Puppet Nurses, Puppet Doctors, Cybil, and Lisa

  • Can't be avoided

• Psychological Horror

  • Can't be avoided

• Witchcraft

  Witchcraft, curses

  • Can't be avoided

Mental Health

• Hallucinations

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  Multiple hallucinations/flashbacks, questioning reality and if you're in the real world or the Otherworld or Nowhere

  • Can't be avoided

• Misc. Mental Health

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  Body dysmorphia. References to self-harm in a note in the hospital. While you can technically avoid this, it is also required for a puzzle.

  • Is avoidable

• Post-Traumatic Stress Disorder

  • Can't be avoided

• Psych Ward

  Hospital/mental institution

  • Can't be avoided

Natural Events

• Natural Disaster

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  Earthquake

  • Can't be avoided

Non-Sexual Abuse & Violence

• Altercations

  • Can't be avoided

• Assault

  • Can't be avoided

• Bullying

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  Alessa was emotionally abused by her classmates and her mother.

  • Can't be avoided

• Child Abuse

  Present in cut scenes, flashbacks, and journals/notes

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  Alessa was regularly physically and emotionally abused, mainly by her mother. Harry’s daughter Cheryl was abandoned on the side of a highway by her real parents. Alessa was burned alive by her mother (referenced, not seen).

  • Can't be avoided

• Child Endangerment

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  Harry’s daughter Cheryl was abandoned on the side of a highway by her real parents.

  • Can't be avoided

• Emotional Abuse

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  Alessa was emotionally abused by her classmates and her mother.

  • Can't be avoided

• Mutilation

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  Mutilated dead bodies throughout the game, especially in the first area following sirens going off and the elementary school

  • Can't be avoided

Phobias

• Acrophobia

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  Narrow boards over multiple bottomless pits you must run over, climbing up lighthouse

  • Can't be avoided

• Automatonophobia

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  Child-sized enemies that are doll-like

  • Can't be avoided

• Claustrophobia

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  Narrow hallways, enclosed spaces in clock tower/elementary school

  • Can't be avoided

• Emetophobia

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  Lisa references vomiting in journal. You can avoid this by not going back into the room after Lisa’s “I’m just like them” speech.

  • Is avoidable

• Hemophobia

  Blood is very present in the game

  ShowHide potential spoilers or triggers

  In the hospital, you need to find a blood pack. After Lisa's "I'm just like them" speech, she will bleed a lot.

  • Can't be avoided

• Katsaridaphobia

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  Cockroach-like enemies in the sewers

  • Can't be avoided

• Misc. Phobias

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  Aeroacrophobia (Fear of open high places), Basophobia (Fear of falling), Ceraunophobia (Fear of thunder and lightning), Cynophobia (Fear of dogs), Electrophobia (Fear of electricity), Entomophobia (Fear of insects), Felinophobia (Fear of cats), Herpetophobia (Fear of reptiles), Homichlophobia (Fear of fog), Mottephobia (fear of moths), Pedophobia (Fear of children), Phasmophobia (fear of ghosts or phantoms), Pyrophobia (Fear of fire)

  • Can't be avoided

• Necrophobia

  ShowHide potential spoilers or triggers

  Mutilated dead bodies

  • Can't be avoided

• Nyctophobia

  Most of the game takes place in dark and/or foggy surroundings

  • Can't be avoided

• Traumatophobia

  • Can't be avoided

• Trypanophobia

  • Can't be avoided

Physical Health & Body Issues

• Misc. Physical Health & Body Issues

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  Medical malpractice — keeping patients in pain without intending to heal them

  • Can't be avoided

• Pain & Physical Suffering

  • Can't be avoided

• Reproductive Health

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  Forced supernatural impregnation without sex

  • Can't be avoided

Religion & Sects

• Cults

  ShowHide potential spoilers or triggers

  Alessa is regularly made to feel as though she's only there to birth the cult's god.

  • Can't be avoided

• Religion

  • Can't be avoided

Traumatic Events

• Accidents

  Car accident at beginning of game

  • Can't be avoided

• Structure Fire

  • Can't be avoided

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