Silent Hill/Monsters

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

Silent Hill 1

 * Air Screamers/Night Flutters - Pterodactyl-like demons. Their visage comes from Alessa's favorite book, The Lost World.
 * Apparitions (Stalkers) - Partially visible, harmless ghost-like entities. They cause the radio to emit white noise and make squeaking noises before disappearing; cannot be killed (however, they stumble and disappear only when the flashlight beam is directed at them).
 * Blood Sucker - Large, parasitic worms that have an obsession with drinking blood. Although not really an enemy that is faced, they can kill with one attack; it's best to find other methods to deal with them.
 * Claw Finger - A small, humanoid creature with clawed hands. Only present in the last part of the sewers (US version). They replace the mumblers in the PAL version.
 * Demon Children (Mumblers) - Knife-wielding, toddler-like demon children. These 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 Claw Fingers. The groans they make as they attack Harry is actually the sound of a child's laughter electronically slowed down. Quite possibly reference to the children that picked on Alessa as a child. Near the end of the game (nowhere), the Demon Children become invisible.
 * Puppet Doctors - Monstrous doctors possessed by a parasite who attack using a scalpel.
 * Puppet Nurses - Monstrous nurses wearing old fashioned attire who attack using a scalpel. They also are controlled by a parasite, giving them a humpbacked appearance.
 * Rompers - Gorilla-like creatures that are fast, deadly and very difficult to kill. They represent the fear Alessa had for adults.
 * Groaners - Demonic dogs with decaying flesh. They're fast and nimble and attack in packs. They represent Alessa's fear of large dogs.
 * Hanged Scratchers - Found in the sewers. They usually ambush in numbers and can be difficult to kill.
 * Wormheads - Similar to the Groaners but faster and stronger.
 * Cockroaches (Creepers) - Big insects that lurk in school and the sewers. They can easily be killed with melee weaponry.

Silent Hill 2

 * Patients (Lying Figures) - Skulking, human-like demons in fleshy strait-jackets. They attack by spewing a poisonous mist. When hit they fall into a prone position and move by crawling along the ground. They represent the image of a patient writhing in agony, a manifestation of James' suffering.
 * Nurses (Bobble head Nurses) - The nurses wear suggestive outfits and have heavily distorted and grotesquely swollen faces. The nurses are quicker on their feet than most of the other monsters and wield deadly lead pipes that can do heavy damage. They represent Mary's hospitalization. Their suggestive attire is a manifestation of James Sunderland's sexual repression because of his wife Mary's hospitalization due to her terminal illness.
 * Mannequins - Inspired by Hans Bellmer's Dolls. Headless, armless living sewing dummies. These monsters consist of a human's 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. They tend to stand still and in plain sight until approached and then they start to attack. Another symbol of James' sexual frustration and objectification of women, as Pyramid Head is seen early on brutally raping two of them. A common enemy that inflicts normal damage. Can be seen jumping off buildings or behind bushes outside and while inside, may suddenly walk out of closets after staying motionless for a few seconds. Pyramid Head is found raping two of these creatures just before the first fight with him at the end of the second apartment building.
 * Doormen (Abstract Daddy/Table Daddy) - The Abstract Daddy's appearance suggests rape. It looks like a large humanoid figure over a smaller figure on a bed. It has four legs which are used to approach a victim. The creature lifts it's body and reveals a "mouth" that is used to attack. Supposedly, Thomas Orosco, Angela's father, sexually assaulted Angela a great deal, resulting in this monster created out of her own guilt (her mother blamed her for the assaults). After the boss Abstract Daddy, small versions are encountered which represent the weaker James suffocating his wife. In some original production documents, the name given for these creatures was "Angela Papa."
 * Mandarins (Underhangers) - Giant-armed monsters which hang from gratings. Similar to the Closers found in Silent Hill 3. They represent James' anguish and for this reason are not allowed to stand above ground. Usually they will be seen hanging under grating and bite James as he passes overhead.
 * Cockroach (creepers) - Nothing more than big insects that attack by biting and then running away. Derived from the most part of the town's power.
 * Flesh Lips - The lattice, which signifies a bed, while a "mouth" located on the abdomen symbolize Mary's vagina.

Silent Hill 3

 * Closer - Lumbering, giant-armed monster with great strength and reach. Its head is more or less a tube that leads to a mouth. If Heather gets too close, it defends itself by swinging it arms slowly, knocking her back. Large, bony spikes are hidden in their arms and cause a large amount of damage when used.


 * Split Heads - Dogs that have heads that split vertically in half. Will howl and quickly pursue Heather when they see her. Are attracted to beef jerky and the random bloody carcasses found in some areas in the game. The Split Heads are also bandaged and are reference to Alessa when she was burned and bandaged with her soul split in half. Quite often, they hunt in packs, and are capable of launching surprise attacks.


 * Insane Cancer - Enormous, fleshy humanoid with great strength. Although usually moves slowly, shifting its weight back and forth, it will sometimes run at Heather and knock her down. Usually found sitting down or sleeping. While doing this, it regenerates its health. Will "deflate" after dying.


 * Numb Body - Relatively featureless, bipedal creature; resembles a headless, featherless, wingless chicken. Said to resemble a fetus. Comes in two sizes. Called numb bodies due to the way they walk; stumbling. Make eerie moaning sounds when alive. Have a single, enormous eyeball as a head. Seldom found alone.


 * Pendulum - Two conjoined torsos on stilt-like legs, armed with blades. Can either walk around on its stilt-legs, or can fly by spinning. Makes a high-pitched sound like that of grinding metal.


 * Scraper - A humanoid wielding two large, rusty blades. Has a head that looks like many folded layers of flesh and quivers rapidly. Resembles smaller versions of the Missionary boss.


 * Slurper - Crawling, anteater-like creatures with great speed. Face is long and pointed, like that of a rat, and loud noises attract its attention. Will try to pin Heather down and dart up her skirt. Often pretends to be dead in order to surprise Heather.


 * Nurses - Nurses all have the same bizarre, badly made-up face, and some also carry revolvers. Make panting sounds when alive and strange squishing sounds every time they walk. On their face, it appears they have either vomited up blood or have been feeding on a bloody carcass, as blood is spattered all around their mouth. Make realistic screaming sounds when hurt. If the perfume is equipped, supposedly, they attack in greater numbers. Their skin is nearly white.

Silent Hill 4
(An interesting behavior of the Twin Victims can be witnessed if Henry does not get too close. They appear pointing strictly at him; their whispers can sometimes be heard echoing through the air. "Prepare for the Receiver of Wisdom." If Henry approaches the monster, or shoots it, it will start to attack.)
 * Sniffer Dogs - In Silent Hill 4, the dog-like creatures have long, prehensile tongues rather like umbilical cords that they use to drain their prey of blood; the canines, themselves, are a reference to young Walter's fear of dogs after he visited a pet shop as a boy and was nearly bitten by one. They are usually witnessed sucking dead Sniffer Dog corpses. The female are more aggressive than the males.
 * Ghosts (Victims) - Walter Sullivan's victims; they cannot be killed. There are 21 Victims in all, but only 16 are fought by Henry as ghosts (one of them is fought as a monster and represents 2 victims). Victims attack in a similar fashion to what Walter used to kill them. They slowly float toward Henry and when he is vulnerable, will pierce their hands into his chest and attack his heart. Victims are one of the most dangerous enemies in Silent Hill 4. Although they are invincible, they can be knocked out by a powerful blow or shot down with a rare silver bullet. All of the ghosts can also be weakened by holy candles and saint medallions (which can also stop Henry from getting headaches from the ghosts). The only weapons capable of permanently putting them down are the five Swords of Obedience. For further information on SH4's ghosts, see the article on Walter Sullivan.
 * Twin Victims (Victim 07 + 08) - Walter Sullivan's seventh and eighth victims were twins Billy and Miriam Locane. They are the only two of Walter's victims that manifest as a monster instead of ghosts, this is partly due to Walter's guilt over killing innocent children, by giving them the appearance of monsters, they seem dangerous and far from innocent. The twins' spirits have fused together, giving this monster its well-known two heads. Because Billy and Miriam were the youngest of those brutal murders, the heads of the Twin Victim look disturbingly like calm infants' faces; they scream in a terrible, baby-like fashion when they attack. While these monsters look grotesque and intimidating, they can easily be dealt with, given they have trouble turning around quickly. They are only most dangerous at medium range when they get ready to lunge at Henry.
 * Greedy Worm - A large, fleshy creature seen burrowing through Walter's various Otherworlds, which can never die, nor is Henry ever threatened by it. Symbolic of his umbilical cord and the importance it carries in Walter's mind of being what formerly connected him to his mother, but it 'betrayed' him when it was severed, causing her to fall asleep.
 * Gum Head - Rotting, ape-like zombie. Some hold and use golf clubs as weapons. Come in "new" and "old" types. The New-Type Gum Head is generally stronger than the old-type. When playing the game under "hard", New-Type Gum Heads steal weapons from Henry with every successful hit that they land. It appears that they would only steal weapons that function like the steel pipe (the golf clubs, the baseball bat, and *maybe* the torch). Represents Walter's views of people and his negative feeling associated with them.
 * Hummer - Small, strange, insect-like monster that softly buzzes. In the second half of the game, Walter would attack these (he shoots them down, but does not stomp on them to take them out) given that he has not spotted Henry.
 * Toadstools / Whitestools - Snake-like demon fungus that grows in tight groups. They come in two varieties, Toadstools, which are purple, and Whitestools, which are appropriately white. Supposedly representing either sperm or umbilical cords.
 * Leech (Tremors) - These are worms crawling on the floor, walls and roof. If you walk too close or one should fall on you from above you can take harm, but they are easily beaten with just one hit from any weapon and will then burst and die. Can damage Henry if he walks over them, though the damage taken is minimal at best. As a child in the Water Prison, Walter was forced, by Andrew, 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 was his way of trying to help, thinking that the leeches would act as a 'fetus'.
 * Wall Men - Powerful monsters that emerge from the walls. Wall Men take the texture of the walls that they come out of. Near the end of the game, some Wall Men that Henry encounters have the ability to scroll up and down the wall. Can be knocked out briefly by Henry.
 * Wheelchair - An average-looking wheelchair that moves of its own will and cannot be killed. They are possessed by ghosts, giving Henry headaches when he nears them. The shadows of the wheelchairs look like people are sitting in them.
 * Patient - Monstrous hospital patients that usually carry weapons, just like the nurses in the previous games. Used to be normal corpses, Walter excessively disfigured their faces and removed their wombs. Make burping noises when hit with a melee weapon.
 *  Bottoms - These monsters are very similar to the Twin Victims. Instead of having two heads, Bottoms resemble a human turned upside down with long arms attached where the thighs should be as well as the "head" of the creature which appear to be in the shape of a distorted human's buttocks; hence its name. Like the Twin Victims, Bottoms also walk with their hands, have similar attack patterns and are roughly the same size. However, Bottoms appear to be stronger than the Twin Victims by at least 50%. Because of their superior fortitude, these monsters make a good target for Richard's revolver.

Bosses in Silent Hill

 * Alessa/Incubator/Mother of God - The merging of the physical and spiritual Alessa fought in Silent Hill 1 if the player does not investigate on Kaufmann. For further information, see List of Silent Hill characters.
 * Incubus/Samael/God - Incarnation of the god that Dahlia Gellespie had envisioned, fought in Silent Hill 1 if the player investigates on Kaufmann. There is some player speculation that Incubus is the Yellow God: Lobsel Vith. For further information, see List of Silent Hill characters.
 * Cybil - Demon-possessed police officer fought in Silent Hill 1. For further information, see List of Silent Hill characters.
 * Abstract Daddy - Father of Angela in the form of a doorman (quite literally a creature with a body resembling a door) fought in Silent Hill 2.
 * Eddie - Gun-toting psychopath fought in Silent Hill 2. For further information, see List of Silent Hill characters.
 * Hangers/Flesh Lips - Rotting corpses sealed in metal frames fought in Silent Hill 2.They appear as bloated, amorphous corpses suspended within a metal frame, like a cage. This harsh metal frame also looks like a twisted and sadistic interpretation for a death bed, an inescapable prison. They attack James in a locked room in Brookhaven Hospital by lifting him off the ground and strangling him.
 * Larva - The larval form of the Moth fought in Silent Hill 1.
 * Leonard Wolf - Degenerated, former cult leader fought in Silent Hill 3. Father of Claudia Wolf, the new cult leader in Silent Hill 3. For further information, see List of Silent Hill characters.
 * Split Lizard - A dragon-like creature conjured by Alessa from a memory of a children's fairytale. The Split Lizard is fought by Harry Mason beneath Midwich School in Silent Hill 1.
 * Maria/Mary - Maria in her true form (a demon conjured by James' guilt surrounding his wife), or the manifestation of James' memory of his wife (Maria Ending only), fought in Silent Hill 2. The boss fought is dependent on the ending, though the monster's actual appearance is identical in either scenario. She appears similar to "Hangers" in that she's incased in the same metal framework, but is upside down. Her primary weapon are tentacles which emerge from her mouth. She also unleashes a swarm of black "butterflies," which don't harm but delay James from moving temporarily. For further information, see List of Silent Hill characters.
 * Missionary - This is a scraper sent by Claudia Wolf to kill Harry Mason in Silent Hill 3. It is stronger than other scrapers.
 * Memory of Alessa - The Memory of Alessa that clings to Silent Hill. Silent Hill 3. Greatly resembles a dark, bloody version of Heather.
 * The Moth - A monster moth conjured by Alessa from a memory of her insect collection fought in Silent Hill 1.
 * Pyramid Head - A lumbering, monstrous man who wields an impossibly large blade or spear and wears a blood stained, triangular metal helmet. Often attributed to being a manifestation of James' desire to be punished for the guilt surrounding his wife and his repressed sexual urges. Appears in Silent Hill 2.
 * Split Worm - A giant, vile creature with a protective outer skin fought in Silent Hill 3.
 * Walter - Sadistic serial killer fought in Silent Hill 4. For further information, see List of Silent Hill characters.
 * The God - Final boss in Silent Hill 3. Capable of manipulating flames, the lower half of it's body is in an immature state, due to its recent birth.

Divine Creatures in Silent Hill

 * The God - The unnamed God worshiped by the Silent Hill cult was, according to their scripture, born from two humans and brought an end to the suffering of ancient man by taking away eternal life from humankind. She created two or more other gods (Xuchilbara and Lobsel Vith) to serve her, but died soon after, before She could create "Paradise". In Silent Hill 3, Claudia Wolf tried to get Heather to remember her true self. Claudia's idea was to get Heather to remember being Alessa and to Birth the God and usher in the eternal Paradise. Claudia was killed when she takes on the role of the Mother of God when she swallows the God Fetus that Heather vomits. It has been further explained that the appearance of the God changes depending on the person who invokes his or her appearance. Because Alessa's version of God is a woman and the Myth paintings depict God as a woman it has been speculated that God is a woman. In reality The God that the cult worships is actually a solar deity, the sun God who can appear however.
 * Lobsel Vith - The Yellow God referred to in the paintings in The Chapel in Silent Hill 3. The nature, appearance, and purpose of Lobsel Vith is unknown, as nothing is explicitly stated about it in any of the games. There are various fan-based theories on the nature of Lobsel Vith, ranging from claiming Valtiel is Lobsel Vith, to claiming that other characters/entities such as Alessa, Incubator or Incubus represent it. None of these have been confirmed by Konami.
 * Xuchilbara (Xuchilpaba) Is the red God of Silent Hill. Xuchilbara is the God of Rebirth, the shifter of worlds, an executioner, and a tormentor, amongst other things.  There has been speculation that Valtiel or Pyramid Head may be manifestations of Xuchilbara.
 * Samael - An alternative name for a particular demon or dark god. Dahlia Gillespie refers to the marking Alessa spreads over town as "The Mark Of Samael", and leads Harry to believe that Alessa is attempting to conjure Samael to engulf the world. It is later hinted by Dahlia that it is not The Mark Of Samael, but The Talisman Of Metatron, which is later confirmed by Silent Hill 3 with the appearance of the talisman itself. Some feel that this indicates that Samael's presence in the game is almost certainly a lie by Dahlia to manipulate Harry Mason into tracking Alessa down for her. Despite the overwhelming agreement amongst the Silent Hill fanbase that Samael does not exist in the realm of Silent Hill, a few fans remain adamant that Samael does indeed factor into the series. Only Konami can answer this, in future installments. It is possible that Samael is heard in Silent Hill 4: The Room in the Building World level on the second visit. When Henry Townshend walks by staircase next to the alley leading to the bar. When Henry walks by you here an eerie moan or shriek that sounds like it came from an overgrown dog or goat. Its seems like the sound is a goat because Samael is portrayed as a creature with the head of a goat in literature. Still it is unsure that Samael is even is apart or exists in the silent hill universe.
 * Metatron - Metatron is an angel of God in many religions, and is mentioned in the game through The Talisman Of Metatron and the Seal Of Metatron in Silent Hill 1, 2, and 3. Alessa used the markings to block Dahlia from locating her in Alternate Silent Hill, forcing Dahlia to use Harry to get close enough to Alessa to strike. Heather attempts to use the Seal Of Metatron against Claudia Wolf in Silent Hill 3, but it does nothing. Claudia refers to it as "useless". Whether or not this indicates a loss of power of the talisman/seal itself, a lack of knowledge on Heather's part on how to use it, or that the dark gods of Silent Hill are now too dominant for it to be effective is still up in the air. The markings Alessa spread in Silent Hill 1 show up once in Silent Hill 2: on the floor of the hotel in the final battle against the two Pyramid Heads. This, coupled with the fact that Pyramid Head is affected by a siren similar to the one heard in Silent Hill 1, calls to question whether Pyramid Head was entirely a construct of James Sunderland, or if they are real creatures controlled by some sort of higher power. 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 "Book of Lost Memories". Also it is rumored that runes on the Mark of the Metatron says "Xuchilbara" which can be even further connection to Valtiel (see Xuchilbara).
 * Valtiel - A strange creature that appears numerous times in Silent Hill 3. It does not attack Heather, nor can it be killed, and it only appears in the nightmare world. The word Valtiel comes from "valet" which means attendant. Valtiel's purpose is to make sure that Heather survives in order to birth god. In many places you can see Valtiel turning a valve which is a symbol of the cycle of the rebirth of god as well as the world transforming into its nightmare counterpart. It is suspected that Valtiel has some connection to the Pyramid Head character.
 * 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.
 * Relations between divine creatures - Pyramid Head's appearance is based on outfits of executioners from Valtiel Sect. Red hoods are suggesting that Valtiel is indeed the Red God - Xulchibara. Further proof supporting this theory is that both Valtiel and Xulchibara have power of rebirth and Xulchibara in Crimson Ceremony seems to be blood-hungry god which connects him with executioners. Also important to note is that Valtiel has Seal of Metatron tatoo on his arm while Valtiel himself as well as Seal of the Metatron plays important role in shifting into the Otherworld. Further proof supporting theory that Valtiel is being symbolized through the Seal is that we can see Mark of Metatron during the final fight with two Pyramid Head whose physical appearance was based on Valtiel. At this point it is important to note that pyramid-shaped helmet is similar to the triangle inside the Mark of Metatron and the same pyramid shape appears on the one of the paintings, on which Xulchibara is presented, from the church in Silent Hill 3. Also both Valtiel and Metatron were described by Hiroyuki Owaku (Silent Hill scenario writer) as "agents of the God" in Book of the Lost Memories guide. Furthermore runes inside the Mark of Metatron are rumored to be saying Xuchilbara. So it is highly probable that Valtiel, Xuchilbara and Metatron are the same being. And as far as Metatron and Samael are described in The Book of the Lost Memories to be sharing the same existence it is probable that while Metatron is another name for Valtiel, Samael can be other name for Lobsel Vith.

Silent Hill Movie
Several creatures from the games make a big screen comeback in the Silent Hill Film. All of the creatures except for one are present in the games. The creatures in the Silent Hill movie were evidently a number of the townfolk that were transformed by Alessa's nightmares and dark energy.


 * Gray Children (Silent Hill 1) - They do not wield knives like they do in the game, but instead are blackened and smoldering; using their hands to grab and drag any victim. They emit a high pitched shriek and are first seen swarming Rose when she chases an image of Sharon, similar to what Harry experienced in Silent Hill 1. Some believe they represent Alessa herself. In the film, they cry and reach out for a motherly figure, like Rose, and try to hold on to her. A theory suggests they are manifestations of the pain and torment the children lost in the fire must have suffered. They are possible embodiments of Alessa's fear of her own peers, who bullied and tormented her. Their tormented and charred forms could be seen as Alessa's revenge upon them.


 * Creepers - (Silent Hill 1,2, and 4) - Thousands of these crawl around Pyramid Head in Midwich Elementary School where he first finds Rose. They are later seen swarming Silent Hill Cult members and finally crawling through the hole made by Pyramid Head to attack Cybil and Rose. Symbolic significance of the creepers are not known. It may be worth mentioning, however, that, when Cybil stares down at one of the upturned insects, to her horror, she sees it bears a tiny, almost human, screaming face. They are seen in Silent Hill 1,2, as well as 4.


 * Nurses - (Silent Hill 1,2, and 3) - React strongly to light and wield knives; their heads look disfigured and almost monstrous. They wear suggestive clothing and stick together in groups. Rose turned off her light to try to sneak by them.  In an attempt to stab her they ended up cutting and stabbing each other instead and were stopped when Rose turned on her flashlight and set it down, running away while they swarmed the light. The nurses possibly symbolize Alessa's jealousy of beautiful women. When Alessa was burned, she was forced to live out the rest of her life in an ugly, charred shell. Their blank faces have been interpreted as the fact that none of the nurses that cared for Alessa, apart from Lisa Garland (The Red Nurse) dared to look inside the oxygen tent that was Alessa's prison for many years and meet her hateful gaze. She would never mature sexually and would never be considered "beautiful". Another theory suggests the nurses violent nature and monstrous appearance symbolize  Alessa's fear of sexuality, taking her experience with The Janitor into account.  (Note: the movie representation looks closer to the Bobble Head Nurses seen in Silent Hill 2)


 * Lying Figures (Silent Hill 2) - These demons are seen attacking Cybil, spraying her with an acidic, tar-like substance when she was trying to arrest Rose. When Rose gets away and Cybil kills the creature she notices that there are many others wandering in the edge of sight. The Lying Figures' siginificance has been interpreted as Alessa's pain and torment. The straight jacket imagery made of flesh possibly symbolizes Alessa's fear of her own hospitalization and that she felt trapped in her own disgustingly damaged body, although this is disputed since these monsters are also seen in Silent Hill 2, and may simply have been included only for that. These monsters are also believed to be in body bags, not straight jackets.


 * Pyramid Head (Silent Hill 2) - Symbolic significance is debated, although in the movie he is believed to be some sort of a redeemer, killing those who have done wrong and are incorrect in belief, yet in the game he has been believed to be a manifestation of James' subconscious fears and attacks mostly anything he comes in contact with. Some speculate that Dhalia has some control over him, as she points toward one of the cult members, Anna, with the same devil sign that Christabella makes at Rose, right before the Pyramid Head kills her. However, it is unclear if her pointing was indicating Anna as a target to the monster, or if she was effectively telling Anna "look behind you." This theory could be challenged, as Pyramid Head did not appear behind Anna until after Dhalia gestured at her using the same gesture the cult use when declaring someone a witch. This is disputed because throughout the entire movie as Anna is alive, Dhalia makes the same gesture at her.  Alternatively, the devil sign Dhalia made could be merely an obscene hand gesture toward Anna, and not at all connected with Anna's death.


 * The Janitor - A creature created specifically for the film Silent Hill; it was discovered by Rose while searching for her daughter Sharon at the Midwich Elementary School. While fleeing a trio of Miners, Rose stumbles into the school's washroom where she first meets 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 part of a key chain from a hotel is found. It is speculated that The Janitor is discovered in the same bathroom stall where a janitor named Colin presumably raped young Alessa Gillespie years before. It is presumed he was transformed into a monster by her nightmares. After the shift to the otherworld he escapes his confines and crawls towards Rose, tongue lashing up and down, as if in the middle of some perverse sexual act and his feet still bound to the back of his head in such a way that he can no longer stimulate himself sexually.  When he touches the wall it decays, and holes appear that spawn creepers. This spread of "infection" the Janitor brings possibly signifies a venereal disease, imagery brought forth from Alessa's anger and utter disgust at the Janitor. Now, he cannot touch anything without it becoming corrupt and fetid. It was said that Akira Yamaoka liked The Janitor so much that he plans to include him in a future Silent Hill game.  Alternatively, the creature bears a striking resemblance in style and action to the "ghost" monsters in Silent Hill 4, "melting" through the wall and corrupting the environment around them.


 * Alessa Gillespie - The physical body of Alessa makes an intimidating appearance inside the church in the movie's finale. Being unable to move, the hospital bed she has layed upon for 30 years becomes part of her monstrous guise, similar to the Lying Monster's with body bags. She controls hundreds of tentacle-like barbed wire stands that sprout from the bed and uses them to bring bloody deaths to all the religious zealots who made her what she has become. There is a striking resemblance between Alessa's movie appearance and the Mary/Maria demon that James Sunderland was forced to destroy in SH2. Mary was also lain on a bed-like contraption, although it more resembled a metal cage, and uses tentacles.