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SILENT HILL f

Windows PC, PlayStation 5, Xbox Series

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood and Gore, Intense Violence, Partial Nudity	No Interactive Elements	This is a survival-horror action game in which players assume the role of a student confronting supernatural entities in a 1960s Japanese mountain town. From a third-person perspective, players explore the town, solve puzzles, interact with characters, and battle enemy creatures (e.g., humanoid monsters, mutants, mythical creatures). Players use axes, crowbars, knives, and spears to defend against and kill enemy creatures in melee-style combat. Blood-splatter effects occur frequently as characters are attacked; several areas depict large bloodstains in the environment and near corpses. Some enemy attacks can result in players' character getting impaled in the neck and/or getting their faces ripped apart. Cutscenes sometimes depict gore and more intense acts of violence: a character burned alive inside a cage; a woman branded by a hot iron; entrails and sinew displayed on serving platters in fantastical celebration/ceremony; a character sawing off her own arm; a character slicing off portions of a character's face during a ritual. Concept art depicts a nude mannequin-like character, with exposed buttocks and partially exposed breasts; the character appears in a creature-like form throughout the game.

Silent Hill 2

Windows PC, PlayStation 5

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood and Gore, Language, Sexual Themes, Violence	No Interactive Elements	This is a horror adventure game in which players assume the role of a man returning to a mysterious town while being tormented by his past. From a third-person perspective, players explore the town of Silent Hill, interact with characters, and battle humans and creatures (e.g., Pyramid Head, mannequins, monsters). Players use pistols, shotguns, rifles, and knives to kill enemies. Combat is highlighted by realistic gunfire, cries of pain, and blood-splatter effects. Some environments depict large bloodstains and/or intestines/organs on walls, floors, and surrounding bodies. Cutscenes and illustrations depict further instances of violence and/or blood and gore: characters impaled; a character suffocated to death with a pillow; enemies with body parts sewn together. The game contains some suggestive/sexual material: characters pole-dancing in strip-club settings; posters of women in revealing outfits (e.g., bra and thong, deep cleavage); dialogue alluding to sexuality and/or sexual abuse/misconduct (e.g., “Remember that time in the hotel? You said you took everything. But you forgot that videotape we made”; “Don't touch me...You're only after one thing…Or you could just force me, like he always did.”). The word “sh*t” appears in the game.

Silent Hill: The Short Message

PlayStation 5

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood, Strong Language, Violence	No Interactive Elements	This is a horror adventure game in which players help a teenager find her missing friend in an abandoned apartment building. From a first-person perspective, players explore dark corridors and interact with objects to retrace the friend's steps. As players traverse the environment, they can encounter a roaming creature that chases them down, killing them with its spiked arm. Blood is depicted on players' screen during stabbings; some environments depict blood stains on walls, floors, and bathtubs. The game contains dark thematic elements, with references/depictions to bullying, self-harm, and suicide: a character jumping off a building; a first-person depiction of a character putting a razor to her wrist before fading to black. The words “f*k” and “sht” are heard in the game.

Silent Hill Book of Memories

PS Vita

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood and Gore, Language, Suggestive Themes, Violence	Online Interactions Not Rated by the ESRB (PS Vita)	This is a survival horror game in which players control characters whose fates can be altered through a mysterious book. From a 3/4–overhead perspective, players explore various “zones” in a Nightmare World, battling demonic creatures in melee-style combat. Players use axes, shotguns, flamethrowers, and chainsaws to kill nearby enemies and larger bosses. Some weapons result in large splashes of blood and/or scattered body parts; enemies leave behind blood-like “karma puddles” when killed. One cutscene depicts a man getting torn in half by a rock monster. During the course of the game, some dialogue includes suggestive material (e.g., “You're a whore,” “That dirty skank,” “[S]he's already got you wrapped around her slutty little finger.”). A comic book panel depicts a woman in a revealing outfit; male characters comment about her “leather pants” and “super tight shirt.” The words “sht” and “dck” appear in dialogue.

Silent Hill: Downpour

PlayStation 3, Xbox 360

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood and Gore, Intense Violence, Sexual Themes, Strong Language	No Interactive Elements	This is a survival horror game in which players assume the role of Murphy Pendleton, a prison inmate stranded in the fictional town of Silent Hill. Players explore mysterious environments, investigate clues and objects, and interact with various characters. Players use axes, pipes, knives, and shotguns to kill demonic creatures that screech/cry out in pain when struck; blood-splatter effects occur during combat. Bloodstained corpses and body parts are depicted in some environments; one sequence depicts writhing torsos that spew out blood. Cutscenes also contain intense instances of violence: a child's neck getting snapped (off-screen); a police officer being stabbed in the ribs; a defenseless man getting beaten to death with a pipe. During the course of the game, some on-screen text contains sexual references (e.g., “. . . including third-degree murder and sexual assault of a child below the age of 14.”). The words “f*k” and “sht” can be heard in the dialogue.

Silent Hill

PlayStation 3, PSP

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood and Gore, Violence	No Interactive Elements	No Rating Summary

Silent Hill: Shattered Memories

PlayStation 2, PSP, Wii

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood, Drug Reference, Language, Sexual Themes, Violence	No Interactive Elements	This is a survival horror game in which players assume the role of Harry Mason as he searches for his missing daughter after a car crash. Players explore a mysterious town, investigate clues and objects, solve various puzzles, and interact with the world using their in-game cell phone. Some voicemail/text messages received on the phone contain references to violence, including an onlooker's vivid description of a stabbing. Players can also take pictures with their cell phone, one of which reveals the corpse of a teenager who hanged himself. Large streaks of blood are sometimes depicted on floors and walls; blood is also visible around animal and human corpses. Throughout the game, players will encounter suggestive posters/calendars/objects featuring scantily clad women. The most pertinent examples include: a poster advertising a pornographic film called Young Flesh 2 (with blacked-out nudity); portraits of women who work in a brothel; mannequins arranged in sexually suggestive positions; and rude bathroom graffiti (e.g., "Cheerleader Whre"). Players can visit a psychiatrist who sometimes brings up sexual issues (e.g., "All this talking and we still haven't touched on this sex thing" and "I have enjoyed role-playing during sex"). As players explore an abandoned school, they may encounter a poster for drug awareness that contains images of marijuana leaves, crack, and cocaine. Profanity (e.g., "sht" and "a*shole") can sometimes be heard in the dialogue.

Silent Hill: Homecoming

Windows PC, PlayStation 3, Xbox 360

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood and Gore, Intense Violence, Language, Sexual Themes	No Interactive Elements	No Rating Summary

Silent Hill Origins

PlayStation 2, PSP

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood and Gore, Language, Suggestive Themes, Violence	No Interactive Elements	No Rating Summary

Silent Hill 4: The Room

Windows PC, PlayStation 2, Xbox

Rating	Content Descriptors	Interactive Elements	Rating Summary
	Blood and Gore, Intense Violence, Sexual Themes	No Interactive Elements	No Rating Summary

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