The game features numerous references to Silent Hill 2 (2001), including several small Silent Hill 2 posters in the Mall. When playing the game with a Silent Hill 2 save game on the memory card or harddisk, other references appear: - In the Mall, you are given the option to retrieve something from a dirty toilet. When doing so, Heather will crouch and hesitantly move her hand towards the toilet, accompanied with suspensful music. At the last moment she comes to her senses, turns to the camera and says "Gross. Who would do something like that anyway?". (In Silent Hill 2, the player had to retrieve a wallet from a clogged toilet). - When examining your mailbox in the appartment building, Heather comments that there is no mail, not "even from a dead wife". Silent Hill 2 starts with the player receiving a letter from his wife who has been dead for 3 years. - When examining the fence on the roof of Brookhaven Hospital, Heather says "it doesn't look like it's about to break". James from Silent Hill 2 was thrown through the fence off the roof.
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