Church
- The Eye of Night tarot card is a made-up card for this game
- When you examine the picture on the wall in the confessional box, Heather comments, "Who can this be? Ah, it doesn't matter"
- Closers in the Church are covered in a green type of bacteria and are faster and stronger
- In the southeast room on 1F, your shadow is very large and sharp
- There's a great view from behind the near desk light when you approach the far desk in the second hallway's bedroom
- The painting of St. Jennifer in the room with the large save point on the ground is Jennifer Carroll, the praying woman statue from Silent Hill 2
- When you examine the phone in Harry's Church bedroom, Heather comments that she shouldn't bother because she knows it's not connected
- You can find Valtiel hanging a nurse in the corridor of Alessa's bedroom, and also patrolling other areas of the Church
- Alessa's bedroom, hospital room and the classroom are taken straight from the first Silent Hill, all very similar in appearance
- In Alessa's hidden hospital room corridor, Valtiel turns a valve below two hanging young female bodies, said to represent Cheryl and Alessa
- When you examine the photo of Alessa in the hospital room, Heather says she was bored and sad at seven (which was when the photo was taken)
- When you examine the bed in the same room, Heather goes on and on for a while about Dahlia and her past
- The caption while examining the bed says "Dalia" instead of "Dahlia"
- When examining the cards in Alessa's bedroom, Heather says Claudia had trouble winning when they were kids, which caused her to cry
- If you kill all the enemies in the transforming small room full of monsters when returning to the chapel section, the room will return to normal
- The graffiti desk and the "WOLF" drawing on the classroom wall in the south corridor of the upper level reappear straight out of the first Silent Hill
- Heather comments that the "WOLF" drawing looks like a dog but acknowledges that it must be a wolf cause it says so
- There is a note written by a K. Gordon in the classroom, the same name of the K. Gordon key from the first Silent Hill, revealed to be a teacher of Alessa's
- There is a room full of Scrapers and nothing else in the south corridor of the upper level
- Similarly to inserting the five tarot cards into Alessa's bedroom door, Harry inserted "five rites" (five different objects) into the same door at the end of the first Silent Hill
- The five tarot cards are all meant to represent a character: Heather is the "Fool", Claudia is the "High Priestess", Douglas is the "Hanged Man", Vincent is the "Moon", and the god is the "Eye of Night"
- There's a large fan before entering the final room with Vincent and Claudia, similar to the one in the first game's Nightmare School, but also a recurring theme in all the Silent Hill games
- You can hear the Silent Hill 2 abyss moan at the beginning of the Vincent and Claudia cutscene before the final boss
- Claudia stabs Vincent with what looks like the Dagger of Melchior from the first Silent Hill
- If you examine Vincent's body before using the Pendant, Heather says she hated him too but regrets that it ended this way
- After Heather coughs up the fetus, you can see blood dripping from her mouth
- Valtiel climbs the wall in the final arena, assisting the God while covering her face with a curtain
- After defeating the God and walking away, Heather mysteriously looks back – this is because she hears and sees a crying baby, just as did Harry at the end of the first Silent Hill, but she decides to end the circle by leaving it be (having no true connection to it like Harry did)
- Despite no exit in sight, Heather manages to escape the final boss arena
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