Silent Hill/Monsters

The following is a list of monsters in the video game series Silent Hill.

Common enemies

 * Air Screamer - Pterodactyl-like creatures that fly close to the ground surface and travel around in packs. They tend to linger around areas with garbage. The Air Screamers were inspired by memories of an illustration found in one of Alessa's favorite books, The Lost World.
 * Night Flutter - The creature that Air Screamers transform into when the world shifts to The Otherside. They have the head and wings of a pterodactyl, although their faces are covered in masses of writhing worms; rather than pterodactyl bodies, though, they have the bodies of human men. They are sensitive to Harry's flashlight.
 * Grey Child - Knife-wielding, ghost-like children. A swiveling gray stump rests at the base of its neck where a head should be. They were censored in the PAL version of the game (although they can still be found in the PAL version of the demo), and were replaced by Mumblers. Near the end of the game, the Grey Children turn transparent. They represent Alessa's fear/hatred of children who bullied her in school.
 * Mumbler - Humanoid creatures that loosely resembles a headless teddy bear with giant claws. Although their attacks are quite powerful, they tend to move rather slowly. The Mumblers are only present in the latter part of the US version, replacing the Grey Children in the school area in the PAL version. They represent small menacing demons and animals from various fairy tales.
 * Larval Stalker - Partially visible, harmless, ghost-like entities. They cause the radio to emit white noise and laugh before disappearing. They cannot be killed, although they will stumble and vanish once the flashlight beam is directed at them. Their laughter provokes memories Alessa had of being teased during school.
 * Groaner - Demonic dogs with deteriorating flesh. Appearing commonly in outdoor locations, they are fast, nimble, and attack in packs. They are also sensitive to sound and will react to the source. This creature symbolically represents Alessa's fear of dogs.
 * Wormhead - The creature that Groaners transform into following a shift to the Otherside. Their bodies are more deteriorated and appear to be partially burnt, and their heads and covered in writhing masses of worms.
 * Puppet Nurse - Monstrous nurses wearing old-fashioned uniforms. Large, slug-like parasites grow out of their backs, causing the nurses to hunch forward when they walk.
 * Parasitized Doctor (Puppet Doctor) - Monstrous doctors possessed by the same unspecified parasite in the Puppet Nurses, causing them to also have a humpbacked appearance. The Doctors also attack using scalpels. To date, these are the only male medical staff to appear as enemies in the Silent Hill franchise; in games 2, 3, 4, and Origins, all hospital based enemies have been female, reflecting James' sexual frustration, Heather's buried memories, Walter's birth anxieties, and Travis' sexual anxiety, respectively.
 * Romper - Featureless, humanoid creatures that appear to be either skinless or burned. Their gorilla-like movements render them very fast, and they attack with a body blow by pouncing and tackling their prey to the ground. Rompers are more prevalent in the otherworld and around the Police Station. They are a manifestation of Alessa's fear of adults.
 * Creeper - Giant cockroaches that lurk inside the school, hospital, and sewers. The move very quickly, react highly to light, and can easily be killed using melee weaponry. However, it they attack in a group of two or three, they can be too quick to target and may cause significant damage. Creepers are a manifestation of Alessa's aversion of insects.
 * Hanged Scratcher - A humanoid praying mantis-like creature found exclusively in the sewers. They use their hooked claws as weapons and usually ambush in numbers, making them somewhat difficult to kill. Their name comes from the fact that they hang from the sewer pipes above Harry's head by their long claws and then drop down to scratch him. They are a manifestation of an image that is a mixture of various insect species.

Bosses

 * Split Head - The boss fought in the basement of Midwich Elementary school. A giant dragon whose head is split vertically down the middle, it is manifested from a fairy tale Alessa heard/read as a child; Harry recalls reading the same story himself as a child. Any of these monster's attacks are considered one hit kills.
 * Bloodsucker - A creature resembling three leeches fused together at the base, which writhes like octopus tentacles. Harry encounters it in the Alchemilla Hospital, guarding a plate he needs to use as a key; it lays docile on the floor, sucking up a puddle of blood, only becoming aggressive once Harry appoaches it. A second Bloodsucker is encountered later in the game inside a fridge in the area called 'Nowhere'. Unlike the other boss monsters in the game, Harry cannot kill the Bloodsucker; he only needs to distract it long enough to retrieve the plate. The Bloodsucker is an incarnation of Alessa's aversion towards worms and snakes.
 * Twinfeeler - Boss fought in Silent Hill Central shopping mall. A giant larva, which resembles a centipede, that burrows into the earth and them emerges spitting some sort of poisonous gas/venom. After Harry deals enough damage to it, it flees from him and ventures into the city. It is a manifestation of the insect specimens in Alessa's room.
 * Floatstinger - Boss fought on the rooftops of Koontz Street. It is the adult form of the Twinfeeler, and appears as a giant, demonic amalgamation of a moth and a butterfly. It attacks with a large stinger on its thorax and by spewing poisonous gas. Like the Twinfeeler before it, the Floatstinger is a manifestation of one of the insect specimens in Alessa's room.
 * Cybil - A demon-possessed police officer. For further information, see List of Silent Hill characters.
 * The God - The God worshipped by The Order. For further information, see Divine Creatures in Silent Hill. Depending on what ending the player gets, the God will take on a different form:
 * Incubator/Mother of God - The merging of the physical and spiritual Alessa. If Dahlia is allowed to perform the ritual without interruption, Alessa is replaced by a winged female figure that radiates with intense light. Manifestation of how Alessa believed the God would appear; fought in the "Bad" Endings.
 * Incubus/Samael - A hideous, shrieking demon that takes the place of the Incubator if the player rescues Kaufmann. The creature is the incarnation of the mental image Dahlia had for the God. Its image is based on Baphomet. Fought in the "Good" Endings.

Common enemies

 * Lying Figure- Skulking, humanoid creatures trapped in what appears to be straitjackets made from their own flesh. They attack by spewing a spray of acidic mist from an opening in their chest. They are slow whilst standing upright, but when knocked down they stay in a lying position and move by skittering very quickly along the ground. The Lying Figure symbolizes a hospital and/or mental patient squirming in agony, and are also a manifestation of James Sunderland's internal suffering. The creature has been nicknamed Straight-Jacket prior to the release of The Book of Lost Memories which confirmed the official name. However, it should not be confused with the monster under the same name in Silent Hill: Origins which shares identical similarities, but the latter has some siginifcant changes.
 * Mannequin - Headless, armless living sewing dummies which bear a resemblance to French artist Hans Bellmer's Dolls. These monsters consist of a feminine human torso and legs, upon which rest two more legs standing upright. The top pair of legs are used for striking while the bottom pair are used for walking. The creatures react highly to light and tend to stand still in plain sight. However, once the player approaches about three to five feet away they spring to life and start to attack. The Mannequin is a manifestation of James' natural urges and inclinations which, accordingly, the game features a sequence depicting a Pyramid Head raping two of them. Although they are not overly strong creatures, they have the advantage of stealth, as the radio will not emit any static to warn the player of their presence until the mannequin moves. They are commonly found in the apartment buildings and the Hotel.
 * Bubble Head Nurse - Well endowed, zombie-like nurses wearing low-cut outfits. Their heads are grotesquely swollen and face backwards, convulsing violently. The nurses are quicker on their feet than most of the other monsters and wield pipes that can deal heavy damage. The Bubble Head Nurse is manifested from James' memories of Mary's hospitalization, and their attire and shapely bodies are yet another manifestation of James' sexual frustration.
 * Mandarin - Apelike creatures with massive, tube-like arms. They swing from the underside of suspended metal catwalks, attacking James as he passes overhead. Their design is quite similar to the Closers found later in Silent Hill 3. The creature is a representation of feeling overwhelming, inexplicable anguish and, for this reason, the Mandarins are not allowed to stand above ground.
 * Creeper - Insect-like creatures that resemble large cockroaches. They attack by nipping at James' feet and then quickly running away. Since they also appeared in the first Silent Hill, the player can assume that they are merely a manifestation of the town and not of James' mind.
 * Prisoner - An unseen monster found within one of the cells in the prison. It has a deep, powerful voice and continuously pounds on the iron door of the prison cell, saying "ritual" (or possibly a reversed clip of the phrase "are you sure"). Despite the fact that it cannot be seen by the player, James can ready a weapon, attack, and even kill the creature using a firearm.
 * Abstract Daddy - Small but hulking creatures which take the form of a walking bed, on top of which are two writhing figures. The creature only manifests after James' fights a larger version of it (see "Abstract Daddy (Angela Papa)" below). While the original, large version is manifested by Angela Orosco, the smaller ones James fights at the Lakeview Hotel appear to manifest from his guilt over suffocating Mary. Some fans have interpreted the creature as a walking door dubbing it the Doorman prior to the publication of Lost Memories which confirmed the official name.

Bosses

 * Red Pyramid (Pyramid Head) - This lumbering, monstrous creature takes on the appearance of an executioner from the town's past, wielding an impossibly large blade known as the Great Knife and on other occasions a spear. It's depicted wearing a blood stained, triangular metal helmet. He relentlessly stalks both James and Maria and is the incarnation of the part from James' consciousness that believes he deserves punishment for murdering his wife and his repressed sexual urges. The creature is officially known as the Red Pyramid Thing according to the creator's commentary found in The Book of Lost Memories. However, the name can also be interpreted as 'Pyramid Head' which also was used in dialogue by the game's protagonist, James Sunderland. The latter name was widely used since the Silent Hill 2's release in 2001, two years prior to the publication of Lost Memories, and has since been confirmed as also another official title for the creature. For further information, please see the featured article.
 * Flesh Lip - Lattice-based monster that is suspended from the ceiling within a metal frame (much like a cage) and attacks by strangling the player with its legs. James encountered these monsters when Laura locks him inside the room in Brookhaven Hospital. Also called "Lustful Lips" in production documents (indicating vaginal imagery), with the lattice representing a bed and the monsters themselves representing Mary.
 * Ideal Father (Angela Papa) - Two writhing, reclining figures on a walking bed-like form and a symbol of Angela's past. It has four legs which are used to approach a victim. The creature lifts its body and reveals a "mouth" that is used to attack. One of the only monsters in the game which does not originate in James' mind, it is a manifestation of Angela Orosco's sexually abusive father and the guilt she felt over falling prey to him. In some original production documents, the name given for these creatures was "Angela Papa".
 * Eddie Dombrowski - Overweight, mentally unstable young man who succumbs to the horrors of Silent Hill and tries to kill James. For a full character biography, see List of Silent Hill characters.
 * Mary/Maria - The identity of the final boss is dependent on which ending the player has achieved by the end of the game, though the monster's actual appearance is identical in either scenario. Her design is quite similar to "Flesh Lips" in which both share the concept of a figure being encased by the same metal framework, but she is portrayed upside down (in the same way Maria was displayed to James during her execution by the two Pyramid Heads). While hanging in the air, her primary attack is a vine-like tentacle which emerges from her mouth. She also unleashes a swarm of black "butterflies", which do not deal any harm but delay James from moving temporarily. This being is the embodiment of James' conflicted emotions toward his wife Mary during her final days. For further information, see List of Silent Hill characters.

Common Enemies

 * Numb Body - A relatively featureless, bipedal creature that appears in various sizes. They make moaning sounds similar to an infant's cries, especially after being struck down. The creature was given its name due to its slow, awkward movements and its body appears pale as if frozen. They parallel the Grey Children from the original Silent Hill.
 * Double Head - Dogs that have their heads split vertically in half. They usually appear in groups and quickly attack Heather upon sight. The Double Heads are attracted to beef jerky, bloody carcasses found in somes areas, and loud noises. They are "bandaged" in bloody strips of flesh. According to The Making of Silent Hill 3 DVD, their split skulls are meant to evoke Cerberus and to indicate the player is entering a nightmarish world. They parallel the Groaners from the original Silent Hill.
 * Pendulum - A monster consisting of two conjoined torsos on each end and a metallic waist which allows it to spin. It has a blade attached to each of the heads and walks around on its stilt-like legs. They can also rotate in midair, without the use of wings, making a noisy screeching sound of grinding metal. The Pendulum was named based on its movements and attack methods while the upper half of its body rotates.
 * Insane Cancer - Enormous, obese humanoids with great strength. The name is derived from its outward appearance being suggestive of a cancerous mass. Although they usually move slowly, shifting their weight back and forth, they will sometimes run towards Heather and knock her down. They are usually found lying down or sleeping, and whilst doing this, they regenerate their health. They will "deflate" after dying.
 * Closer - Lumbering, extremely large-armed creature that attacks using blades that extend out of each end of their arms. The lower portion of the body looks more like a female with a mini skirt, with what appears to be high heels for feet. If the player gets too close, the Closer will defend itself by swinging its arms slowly, knocking Heather back. The sound they make is a synthesized rhinoceros roar. It has the appearance of a Mandarin from the previous installment that has risen above the ground and was named for its ability to block a passage using its body.
 * Slurper - Humanoid/anteater-like creatures that crawl along the ground with great speed. Their face is long and pointed, much like that of a pig, and loud noises tend to attract their attention. It often plays dead in an attempt to lure in the player and tries to pin down its prey. The Slurper was named after its habit of noisily consuming rust-colored blood and bits of flesh that stick to the floor with its bill.
 * Nurse - Unlike the previous entries, the nurse-type creatures in Silent Hill 3 have a more "human"-like appearance, despite the fact that their faces are still rather distorted and deformed. As well as being equipped with the standard pipe which most use to attack with, some also carry revolver handguns. It appears as though they have either coughed up blood or have been feeding on a bloody carcass, as blood is visibly splattered all around their mouths. They make heavy panting noises and when injured, they utter bloodcurdling screams. If the perfume is equipped while in the hospital, then they will attack in much greater numbers. The Nurses are only found within the hospital area and the creators have stated that the nurses roaming the halls may have changed into monsters, but they have indicated that the details remain unclear.
 * Scraper - A humanoid creature that wields two large, rusty blades. Its head looks like many layers of flesh stitched together and quivers rapidly. Scrapers are a minor variation of the Missionary boss, but moves with greater speed. It is named after its habit of endlessly scraping together the two sharped-edged weapons it holds.

Bosses

 * Split Worm - Boss fought beneath the shopping mall. A gigantic, vile worm that is covered with a protective outer layer. The outer skin splits vertically to reveal a fleshy head without any visible eyes or nostrils. The creature's design was based on the Split Head that appeared in the first Silent Hill.
 * Glutton - Boss "fought" in the abandoned office building. An enormous monster that is suspended from a cylindrical frame and is invulnerable to any weapons used against it. Although the "monster" appears in a picture booklet during the game, its form was manifested by the otherworld's power. Unlike the game's other bosses, he is defeated simply by finding and reciting an incantation
 * Missionary - Boss fought on the roof of Heather's apartment. A member of The Order, sent by Claudia Wolf to kill Harry Mason. Although he is a normal human, because of Claudia's influence, he appears to Heather like a giant, hulking, humanoid monster wearing the Order's ceremonial robes (such as those seen on Pyramid Head). Carries a pair of bent spears with which he attacks Heather.
 * Leonard Wolf - Boss fought in the Brookhaven Hospital septic system. The father of Claudia Wolf. Like the missionary, he is an ordinary human, but because of Claudia's influence, appears as a giant, scale-covered, amphibious monster, representing either Claudia's hatred or Heather's fear. For further information, please see List of Silent Hill characters.
 * Memory of Alessa -Boss fought at the Lakeside Amusement Park. Manifestation of the burnt-up Alessa Gillespie. It attempts to kill the player by using a large variety of weaponry, such as the sub-machine gun and knife. The creature is Alessa's "other mind" that was separated seventeen years ago during the events of the first installment; a memory that still clings to Silent Hill.
 * The God - Boss fought at The Order's Church. A deity that's capable of manipulating fire. The lower portion of the its body is in an immature state due to its recent birth. As a result from being born from Claudia's womb, it takes on the form of Alessa, her vision of the God she believed in.
 * Valtiel - A creature that appears in numerous locations, but never makes any attempt to harm Heather. Its name was derived from "valet" and, as the God's servant, Valtiel must observe Heather to ensure the birth of God. He is also a symbol for the otherworld and is a creature intended by artist Masahiro Ito to connect with the two previous releases. If Heather should die during the course of the game, Valtiel must take measures to resurrect the Mother of God. He is often depicted as turning a valve which represents the cycle of rebirth. It is stated in The Book of Lost Memories that the clothed covered, body-like figures common in Silent Hill are actually bodies wearing a ceremonial robe modeled from the appearance of an angel for the town's occult religion, particularly Valtiel. In relation to Silent Hill 2, if the helmet of Pyramid Head were to be removed the designs between the two are surprisingly similar as the executioner's attire was also modeled after Valtiel. For further information please see Divine Creatures in Silent Hill and the featured article.

Common enemies

 * Sniffer Dogs - Dog-type creatures that have long, prehensile tongues that they use to drain the blood of their prey. They have dirty, leathery yellow skin which appears to be decaying and, strangely, make snarling sounds which resemble that of a large feline rather than a canine. The male Sniffer Dogs attack by charging up and lunging towards Henry Townshend's torso. Female Sniffer Dogs, which have a slight purple-pink tinge to their skin, are more intelligent and tend to detect Henry's presence more quickly. The females are capable of grabbing onto the leg and pinning the player down while others of its companions attack him. The Sniffer Dogs often appear in groups and are usually witnessed feeding on other deceased monster carcasses. Their canine form is a reference to young Walter's fear of dogs after he visited a pet shop during his childhood and was nearly bitten by one.
 * Twin Victims (Victim 07 + 08) - Walter Sullivan's seventh and eight victims were twins Billy and Miriam Locane. They are the only two of Walter's victims that have been reincarnated into the form of a monster instead of ghosts. It is speculated this was partly due to the fact that they were children and may be related to Walter feeling guilty for murdering two innocent children. The creature looks like a giant bust walking on a pair of rotted arms; the twins' bodies have been fused together, giving the bust two heads, which resemble the faces of a pair of sleeping infants. They only attack Henry if he gets close; otherwise they merely stand stationary, pointing at him and whispering "receiver" over and over.
 * Bottom - A rotting, upside down human torso which walks on its hands. It moves around and behaves much like the Twin Victims, but more dangerous.
 * Greedy Worm - An enormous, fleshy worm-like creature seen burrowing infinitely throughout Walter's various otherworlds, symbolically linking them together like an umbilical cord. Though the creature is not hostile, it cannot be killed.  Its appearance could be influenced from Walter's hatred for being separated by the "magical cord" from this mother, although it holds great importance in his mind for representing his mental connection with his "mother", Room 302.
 * Gum Head - A grotesque, decaying ape-like creature that appear in two variations known separately as "Old Type" and "New Type". The 'Old Type' tends to wait for Henry to make a move before reacting. When approached too close, they fall onto all fours and leap at the player. The 'New Type' doesn't follow any exact attack method and will aggressively confront Henry at any opportune moment, but they do attempt to try and catch him off guard. Some can be found wielding golf clubs as weapons. It is interesting to note that the 'New Type' Gum Heads will sometimes steal melee weapons from the player when successfully hit.
 * Hummer - A small, odd creature that appears to be a bat with a humming bird's head. It flies through the air making a loud buzzing sound and attacks by hovering over Henry's head before jabbing him with a sharp, needle-like beak. Hummers heavily rely on attacking in packs and will inflict great damage if left together. Later on during the second half of the game, Walter will attack these creatures for reasons unknown.
 * Toadstool / Whitestool - Disfigured, "vegetable"-like fungi that grows together in tight groups. They come in two varieties: Toadstools, which are reddish-brown and bulge at the top, and Whitestools, which are appropriately white and consist of a single stalk. Both types are immobile, and can only damage Henry if he walks into them. Whitestools are found in damp places, and can be seen to slowly grow if left alone. Toadstools are slightly more damaging, and can be found growing in corpses: if the player kills a monster and returns to the body some time later, a Toadstool may be growing from it.
 * Tremer - Leech-like creature that comes in various sizes and two colors; blue and red with the red ones being the slightly more damaging of the two. They crawl slowly along filthy floors, walls and roofs, and generally make no effort to attack Henry. However, if he walks on one or one falls from the ceiling above onto him, he will take damage. Curiously, he will take no damage if he intentionally stomps on one. Instead, they will burst upon impact from the attack or from being trod or stomped upon. As a child in the Water Prison, Walter was forced, by Andrew DeSalvo, to drink water with leeches in it. This is because Andrew overheard a conversation between members of the cult talking about the re-birth of God and this was his way of trying to help, thinking that the leeches would act as a 'fetus'.
 * Wall Man - Humanoid monsters attached to the wall at the waist; they sink into the wall and are perfectly camouflaged until they attack. They do so by swinging their powerful arms at their prey. A related monster, the One Truth, is one of the game's few boss fights.
 * Wheelchair - An ordinary wheelchair that has a will of its own and, much like the Victims, cannot be killed. Henry also suffers a severe headache whenever he is near one, suggesting that the wheelchairs are possessed. In one room found within the Hospital World, the shadow of a figure sitting in what should be an empty wheelchair can be seen on the ground. However, once the player leaves and re-enters the area, the shadow suddenly disappears.
 * Patient - Abnormally tall, feminine creatures in hospital garb, resembling maternity patients or nurses. They are first encountered in the Hospital World and usually carry powerful close-range weapons which can deal heavy damage using a basic combo technique. Walter excessively disfigured their faces and removed their wombs and lungs. The Patients tend to appear together in groups, but some are alone on various occasions. They make odd belching sounds when they are hit or when pushed down a flight of stairs.

Ghosts/bosses

 * Walter's Victims (Ghosts) - Victims of Walter Sullivan. Being ghosts, they are immortal and impossible for Henry to destroy. While the total number of possible Victims is 21, only 10 are fought by Henry Townshend through the game (excluding the Twin Victims, Walter Sullivan, Joseph Schrieber, and the Victim version of Henry as a part of the room 302's hauntings). Simply being near a Victim gives Henry a severe headache which gradually damages him. While conventional weapons will briefly disable a Victim, only the five Swords of Obedience are capable of permanently neutralizing them: a ghost pinned to the ground by a Sword loses its headache-inducing aura and is rendered immobile as long as the sword remains. Harry comes across six "standard" victims and four 'super' Victims (see below) that are noticeably more powerful and have unique abilities. For further information on SH4's Victims, see the article on Walter Sullivan.

Normal victims
Victims with no special powers or abilities; with the exception of Victim 4, who uses a small spade as a weapon, they attack Henry by reaching into his chest and squeezing his heart. These are the victims encountered in-game:
 * Victim 1 - The ghost of Jimmy Stone, Walter's first victim. A member of The Order, he founded a sect dedicated to the worship of Valtiel. Walter killed him by shooting him in the back of the head.
 * Victim 4- The ghost of Steve Garland, a pet shop owner; as a child, Walter was almost bitten by a dog in his store. Walter shot him to death with a submachine gun.
 * Victim 10 - The ghost of Eric Walsh, a bartender whose establishment was located near Steve Garland's pet shop. The day that Steve Garland was murdered was Eric Walsh's birthday, and when he heard that the murderer had not yet been apprehended, he decided to go home and enjoy the rest of the day with his family. He arrived home to discover a birthday cake, and Walter, who shot him in the face.
 * Victim 12- The ghost of Peter Walls, a stoner who bought drugs from one of the priests of The Order. Walter beat him to death at South Ashfield Apartments.
 * Victim 13- The ghost of Sharon Blake, a housewife whose family joined The Order. When she went to go rescue them, she discovered that they had all been killed; she was then ambushed by Walter, who drowned her in the woods outside of Wish House Orphanage.
 * Victim 14 - The ghost of Toby Archbolt, a member of The Order and priest of the Holy Mother sect. A known pedophile, he operated the Wish House Orphanage, funding it with money made by selling marijuana to teenagers, including Peter Walls. Walter threw him off of a cliff.

Super victims

 * Victim 16 (Cynthia Velasquez) - The ghost of Cynthia Velasquez, whom Henry first encounters in the Subway World. Walter stabs her to death. Her ghost form depicts her with long jet-black hair, which hides her entire face, and deathly pale skin, similar to both Sadako from Ring and Kayako Saeki from Ju-on. She has the ability to immobilize Henry by catching him in her hair. When she is knocked down, she emits a loud, piercing shriek and occasionally slithers away from the screen.
 * Victim 17 (Jasper Gein) - The ghost of Jasper Gein, whom Henry encounters in the Forest World. His body is severely charred and still burning from his death by immolation. He wields a bladed ceremonial chalice and has a very powerful ghost aura (compared to most other Victims). Jasper is also capable of quickly passing through walls.
 * Victim 18 (Andrew DeSalvo) - The ghost of Andrew DeSalvo, found in the Water Prison. His corpse is severely bloated from his death by drowning. The numbers 18/21 are carved into his stomach. Like Victim 17, he too has a powerful ghost aura which is coupled with ramming and barrel roll attacks. He is the only Victim who is capable of a semblance of speech and he can be heard singing and talking to himself in a heavily distorted voice. He tends to hover where Henry cannot reach him. Victim 18 is the only ghost who must be pinned with a Sword of Obedience in order to complete the game.
 * Victim 19 (Richard Braintree) - The ghost of Henry's deceased neighbor. Walter electrocutes him in an old-fashioned electric chair. Richard harnesses a pipe weapon. He attacks with tremendous speed and has the ability to teleport in flashes behind Henry. He is the only ghost that is found to walk rather than float.

Bosses

 * The One Truth - A larger, more powerful version of the Wall Man. Its attacks cause a great deal of damage.  It has ability to scale up and down walls. Instead of appearing from the walls, The One Truth appears to be suspended inside of a metal square, with its flesh stretched out and attached to each corner.  The boss is fought along with several dummies of itself.  In order for the player to win, Henry must find and defeat The One Truth, or the real creature, amongst the dummy Wall Man.
 * Sacrificed Walter - Walter Sullivan's reanimated corpse, transforming as room 302 begins to become his "mother." It appears as a giant, decayed, hairless corpse dangling from a series of hooks. Henry must first kill Walter's body, leaving his ghost vulnerable to attack.
 * Walter Sullivan - A sadistic serial killer come back to life as a ghost. He pursues Henry in the other worlds during the second half of the game. He is found, armed with a pistol (single or dual), a chainsaw, and a pipe. During the final battle, Walter appears to take on the form of a shadow-covered figure, rendering him invulnerable to any attacks until Henry destroys his reanimated corpse (see above). For further information, see List of Silent Hill characters.

Common Enemies

 * Nurse - A faceless nurse creature that is first encountered by Travis in the Alchemilla Hospital. Their appearance is quite similar to those previously seen in the second and third installments, but they act more feminine-like, wield syringes, and look as though surgical masks have been melted to their faces. The nurses are fairly slow, but can be overwhelming if not taken seriously. They are capable of using a grappling attack in which the nurses will attempt to stab Travis with either a syringe or scalpel. It is notable that in the Sanitarium the nurses are colored green, but that is the only difference.


 * Straight-Jacket - A shambling creature wrapped in flesh, serving as a symbol of Travis' mother's stay in the sanitarium. They are nearly identical to the Lying Figures seen in Silent Hill 2, but these creatures behave quite differently, such as spewing balls of acid rather than spraying it. If they spot you, they will run towards Travis and continue to chase him until you enter another room/building, or kill them. Their numbers can rise rapidly if the player does not react quickly. The Straight-Jacket serves a semi-boss near the ending portion of the Alchemilla Hospital and, like the nurses, is capable of using a grappling move. They will jump up and wrap their legs around Travis, trying to crush the air out of his lungs. If the player fails to successfully throw off the creature, it will spew acid into Travis' face.


 * Carrion - A large, reanimated creature that appears to be a skinned cow or bull, dragging its head along the ground. Although the creatures are quite slow and can be easily out run, if given the opportunity they will launch at Travis with considerable strength and knock him off his feet with their head. The Carrion is a symbol of all the roadkill that Travis has driven by and seen.


 * Remnant - A floating object that resembles a rusted harness used to restrain the mentally insane. Though it looks like no one is inside it, it has the shadow of a human-like figure, bleeds when attacked, and will scream in a female voice. The creature is found only in the Cedar Grove Sanitarium and is attracted to light. When the player confronts the Remnant, they will attack persistently until Travis leaves the area or it is killed. They can be very difficult to notice, but is easier to detect with the radio turned on. It appears to represent the sub-humane treatment in the sanitarium, hinted at in the game.


 * Ariel - A theatre mannequin of a child, Ariel hangs upside-down from the ceiling or walks along the ground on its hands. They are distinguished by the rattling sound they produce, and can easily be avoided by turning your flashlight off. However, they tend to appear in pairs or groups and are able to use a grappling maneuver that will result in an instant Game Over if the player fails in getting loose. When hanging from the ceiling, Ariel will attempt to pick up Travis by his head and break his neck.


 * Twoback - A fleshy monster that has the appearance of two bodies fused together by a large layer of skin. They are found predominantly in the Lakeside Motel, but also in the "Otherworld". The Twoback attacks by spitting acid at Travis from far away, and is extremely aggressive. Although the occurrence is rare, they are also capable of using a grappling move in which they will pin the player to the ground and deliever a powerful bite. The creature is a manifestation of Travis' sexual anxiety built up from having to travel on the road.


 * Caliban - The largest monster in the game, Caliban is a twisted memory Alessa has of the theatre's production of the classic William Shakespeare play The Tempest. It is very slow, but its stomping is very powerful. Like Carrion, it will launch itself at you if close enough and can catch up to Travis if he tries to run away. The Caliban serves as a semi-boss at the end of the Artuad Theatre, but later becomes one of the common enemies.

Bosses

 * The Memory of Helen Grady - Travis meets a monstrous representation of his mother in the sanitarium. Its form is disfigured and appears to be restrained by a large, suspended apparatus, symbolizing her containment in the institution. She can spit a cloud of poisonious gas and can manipulate spikes that pop out of the restraining apparatus.


 * The Butcher - A large creature that drags along a weapon called The Great Cleaver, slaughtering monsters and people alike throughout the town. You first encounter this being in the Butcher Shop and is later fought inside the kitchen area of the motel. It appears as a muscular male with a metal mask or helmet covering half its head. Its behavior and appearance is highly resemblant of Pyramid Head from Silent Hill 2 and shares a similar significance which is expanded upon in the 'Bad' ending of the game. There is also a memo found in the Theatre that relates The Butcher's appearance to "The Executioner", another name given to Pyramid Head.


 * The Memory of Richard Grady - Travis confronts a demonic beast symbolizing his father, who hanged himself, in the "Otherworld" variation of the motel. The creature is split into three parts and attacks with tentacles that will attempt to strangle Travis. The distorted, center head can spew out a poisonous gas that is difficult to avoid due to the small space in the area where the monster is fought.


 * Alessa's Dream - A demon-like creature spawned when the ritual to release God is performed. The creature is very different from the other God-type bosses in the series and has insect-like mandibles and spiny, limb like appendages on its back. It's overall appearance, however, is close to an almost classical representation of a demon. It will attack by summoning fireballs that fall from the sky and shoots out a beam of concentrated heat. The last boss faced in the game, it is eventually contained by the power of the Flauros once defeated.

Divine Creatures in Silent Hill

 * God - The female solar deity worshiped by the Silent Hill cult. According to their dogma, God was born from two humans, who offered their prayers to the sun, and brought an end to the suffering of ancient man by taking away eternal life from humankind. She created many gods (including Xuchilbara and Lobsel Vith) and angels to help lead people to her. Then, she set out to create "Paradise" for people, but her strength ran out and eventually it caused her death. However, she promised to return again one day. In Silent Hill 1, Dahlia offers her own daughter, Alessa, as a sacrifice to impregnate her with God. The God is forced out prematurely by Kaufmann and takes on a hideous demonic form. Harry slays the malevolent deity soon thereafter. Claudia Wolf tried to get Heather to remember her "true self" in order to birth God in Silent Hill 3. Claudia's idea was to have God born and usher in Paradise. The role of Mother of God was shifted when Heather exorcised the deity by vomiting the fetus up, which Claudia then swallowed, resulting in her demise. Because Claudia gave birth to the God it takes a similar appearance to that of Alessa, the form of God that she believed in. Due to its state of birth the lower half of its body remains immature. It has been further explained that the appearance of the God changes depending on the person who summons it and can be considered equal to the other monsters. Likewise the cause may be attributed to the town's power to manifest delusions.


 * Lobsel Vith - The yellow god, referred to in the paintings in The Chapel in Silent Hill 3 and one of the beings said to be made to lead people in obedience to God. The nature, appearance, and purpose of Lobsel Vith is unknown, as nothing is explicitly stated about it in any of the games.


 * Xuchilbara (Xuchilpaba) The red god of Silent Hill and one of the beings mentioned in a painting in Silent Hill 3 created to lead people in obedience to God. A god of judgement, Xuchilbara presides over rebirth and has been known to be used in a ceremony to resurrect the dead, called the "Crimson Ceremony". It should be noted that the etymology of Xuchilbara's name is Tetelcingo for flower and Japanese "bara" means rose.


 * Metatron (Metratron) - Metatron is another archangel mentioned in the series, known to be a messenger for Yaweh in Abrahamic religions and is consider to be 'Lesser Yaweh' himself. Metatron is only explicitly mentioned in the series through The Talisman Of Metatron or Seal of Metatron (also known as the Virun VII Crest.) in Silent Hill 1 and Silent Hill 3. . The seal was said only to be given the name Metatron because of its difficulty to control. In Silent Hill 1, Alessa uses the seal in order to prevent the birth of God by spreading it in various locations in Silent Hill. Heather in Silent Hill 3 attempts to use the Seal Of Metatron against Claudia Wolf, but it does nothing. It is also important to note that both Metatron and Valtiel were described by Hiroyuki Owaku (Silent Hill scenario writer) as "agents of God" in the Book of Lost Memories.


 * Hagith, Phaleg, Ophiel, Aratron and Bethor - These five beings, known as the Olympic Spirits, are involved to help get past the last area in Silent Hill 1. Their significance is trivial but they represent planets in Greek mythology, and along with two other powerful spirits, Och and Phul, they form a group of relative significance to the kabbalah known as the Arbatel.

Silent Hill: The Arcade
With the exception of Robbie, no new enemies were created specifically for this game. However, some sport slightly alternate designs.


 * Gumhead - A common enemy that first debuted in Silent Hill 4: The Room. The design is considerably simpler and less detailed than the original. The Gumheads are covered with a grey layer of skin with darker-toned areas that resemble vascular birthmarks.


 * Nurse - The appearance of the Nurses are slightly different from the previously in Silent Hill 2 and 3, having bandages wrapped only the face while still leaving the hair untouched. They are sometimes equipped with pipes.


 * Red Pyramid (Pyramid Head) - His appearance is similar to Silent Hill 2, although he's noticeably much bigger and muscular. He wields his signature weapon, the Great Knife.


 * Scraper - A common enemy from Silent Hill 3.


 * Robbie the Rabbit - Known as the mascot of the Lakeside Amusement Park, this is the first time the character becomes one of the common enemies. His appearance is that of the character costume from the amusement park, also he lacks the blood stained mess on his mouth.  It is unknown if there's anything inside the costume that controls him. The weapons they carry are usually an axe or a chainsaw.

Silent Hill movie
Several creatures from the first four installments made a big screen appearance in the Silent Hill film adaptation. All of the creatures, with the exception of one, are present in the previous games. There are many possible explanations for why the creatures are present in the film but Director Christophe Gans stated that the simplest explanation is that the creatures are victims of Alessa's vengeance. However, Gans first specified that every intrepretation was possible and further listed that the monsters could also be hallucinations from the psyche of the protagonists.


 * Grey Child [Silent Hill 1] - They do not wield knives like their video game counterpart, but instead use their hands to grab and drag their victim. Their appearance has been altered to look blackened and smoldering. The Grey Children emit a high-pitched shriek and are seen swarming Rose Da Silva when she chases an image of Sharon, quite similar to what Harry Mason experienced during the first game.


 * Creeper [Silent Hill 1 & 2] - Thousands of these creatures crawl around Red Pyramid in Midwich Elementary School where Rose first encounters him. They are later seen swarming members of the religious cult and finally crawling through the hole made by Red Pyramid to attack Cybil Bennett and Rose. When Cybil stares down at one of the upturned insects, she discovers to her horror that it bears a small, screaming, human-like face.


 * Dark Nurse [Silent Hill 1, 2, & 3] - The movie representation of the nurses closely resembles the Bubble Head Nurse, including voluptuous figures, monstrous and disfigured heads, and suggestive clothing. They react strongly to light and, while most of them wield scalpels, one is seen holding a pipe in the film. The Dark Nurses move and attack in groups and, when attempting to attack Rose as she sneaks through them, they ultimately end up stabbing and cutting each other. They also make soft, feminine moans and whispers and seem to "creak" when they make sudden movements.


 * Patient Demon [Silent Hill 2] - This humanoid demon is seen attacking Cybil by spraying her with an acidic, tar-like substance after she arrested Rose. Although Rose gets away during the confrontation, Cybil kills the creature and notices that there are many others wandering in the edge of sight. This is notably the only creature that appears in the foggy world.


 * Red Pyramid (Pyramid Head) [Silent Hill 2] - A lumbering, monstrous figure that is depicted wearing a black, four-sided hexahedron instead of the five-sided one from the original game. His apron is extended from the waist down and appears to be composed of human flesh that has been stitched together. His appearance is usually accompanied by Creepers and he is seen wielding the "Great Knife" weapon just like in the second game. Red Pyramid displays his characteristic strength and brutality when trying to kill Rose and her companion. He later catches Anna, holding her in the air with only one arm, tears off her dress, and then grabs her chest and tears off all of her skin in a single movement. Red Pyramid is described by the producers during the making-of features as being punished by having to wear the trademark helmet. Director Gans also stated that his appearance was based from the female perspective of the characters.
 * The Janitor - A monster that was created by director Christophe Gans and Paul Jones' SPFX team specifically for the movie. Rose discovers him while searching for her daughter at the Midwich Elementary School. While fleeing a trio of cult members, she stumbles into the school's washroom where she encounters the Janitor. He resembles a man bound by barbed wire, and is wearing a ripped janitor's uniform with a name tag reading "Colin". Located behind him on the wall written in blood are the words "Dare you, dare you, double-dare you" with an arrow pointing into his mouth where a key chain from a hotel is found. After the shift to the otherworld, he escapes from his confines in the cubicle and crawls toward Rose with his feet still bound to the back of his head. When he touches the wall, it decays and holes appear that spawn Creepers. Gans stated that series' composer Akira Yamaoka approved of the creature during post production and even asked if he could use it for a future Silent Hill game. The creature design bears a striking resemblance in style and action to the Victims (Ghosts) from Silent Hill 4: The Room as both are capable of decaying the wall surfaces and corrupting the environment around them.

The origin of the creature comes from when the school janitor, Colin, molested Alessa in the washroom shortly before her near-death by burning. She finally got her revenge upon the man after gaining her powers, by manipulating a mass of barbed wire to permanently contort and bind his body. He appears as a lifeless corpse in the foggy world.
 * Alessa Gillespie [Silent Hill 1] - The physical body of Alessa makes an intimidating appearance inside the church in the movie's finale. Being unable to move, the hospital bed upon which she has lain for 30 years has become part of her monstrous guise. She controls hundreds of tentacle-like barbed wire strands that sprout from the bed and uses them to massacre all of the cult followers. There is a striking resemblance between Alessa's film incarnation and the Mary/Maria boss that protagonist James Sunderland was forced to attack in Silent Hill 2. However, Gans stated that the ending was inspired by the erotic anime Legend of the Overfiend after budget constraints forced him to create a new finale with this design for Alessa.