
Henry escapes from his apartment and goes to Eileen, who is recovering in the hospital, and learns that he intends to return to her apartment.Henry wakes up in his room and hears on the radio that Eileen, to his great disappointment, is dead.This shows Walter and his childhood depiction in room 302, which shows that the ritual has finally succeeded and he is now with his mother, while on the radio it is heard that Henry, Eileen, Frank Sunderland and other characters have died.

Unlike other Silent Hill , where there is a different setting for the difficulty of the battle and the difficulty of the puzzles, here the choice of difficulty affects both areas. In the second half of the game, Henry is accompanied by his neighbor, Eileen Galvin, who also helps him in battle. Eileen never dies while she is with Henry, however, the damage she receives throughout the game determines her “bet” percentage and whether or not she dies in the final boss fight, directly affecting the player’s finish. The Silent Hill 4 emphasizes battle and quest items, with almost missing puzzle-solving that abound in the rest of the series.

The player has a limited inventory, and can leave unnecessary things in a chest in Henry’s room. When Henry travels to other worlds, the camera angle becomes third-person, as in the rest of Silent Hill . In the first half of the game, the apartment restores Henry’s health bar, while in the second half the apartment is occupied by elements that absorb his health.

The game takes place in his apartment, where the camera is first-person, and is the only place where it can be stored, while the player travels to some areas through holes created in specific areas of the house. The object of the game is to get Henry Townshend out of his apartment.
