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| Submachine gun | 100% | |
| Win the game with a rank of at least 9 big stars. Start a game in "Brand New Fear" mode and look in Room 202 in the Apartment World to find a submachine gun for Eileen. | ||
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| One Weapon mode | 100% | |
| Win the game with a rank of 10 big stars. | ||
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| Brand New Fear mode | 100% | |
| Win the game under any difficulty. Save the game after the credits complete to unlock the "Brand New Fear" option . | ||
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| Alternate Cynthia costume | 100% | |
| Unlock all 4 endings and Eileen's alternate costume/outfit on a single game save. Start a new game and select Eileen's nurse costume. Cynthia will wear her alternate costume. | ||
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| Alternate Eileen costume | 100% | |
| Start a game in "Brand New Fear" mode. Continue until the "Outside of Room 302" part of the game. Enter Room 303 and search it for Eileen's nurse costume. Collect it and win the game. When you start a new game, you can now have Eileen dressed as a nurse. | ||
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| Call restaurant | 100% | |
| When you look out your window, you can see the phone number of a restaurant. You can use the phone to call that number for fun. Information in this section was contributed by Thomas Pardoen. | ||
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| Radio clues | 100% | |
| Notice the suspicious radio in Henry's living room. At certain parts throughout the game, you will be able to listen to certain broadcasts. Listen to them carefully as they will be part of the story and clue you into what is going on. After you finish the subway, take out the chocolate milk and keep it in your inventory; then save and restart. When you reload, look through the front door peephole then go to the radio for a broadcast from Washington. They will talk about a 3 year old boy. | ||
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| Chainsaw | 98% | |
| Start a game in "Brand New Fear" mode. After entering the Forest World for the 1st time go to Jasper's car. Search near by for a cut tree trunk. Look next to it to find the chainsaw. | ||
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If you think it’s safe to stay home, think again. Blurring the lines between reality and horrific alternate worlds, Silent Hill 4: The Room™ is set to strike terror into the hearts of gamers. In Silent Hill 4: the Room, players will assume the role of Henry Townshend, who finds himself mysteriously trapped in his own apartment that has been cursed by a deeply rooted evil. Finding a portal that leads to eerie alternate worlds, players attempt to unravel the mystery of their entrapment as they encounter frightening and grotesque monsters – leaving impressions so disturbing, players will be haunted by their images. In true Silent Hill® fashion, mysterious new characters, horrendous creatures, and the undead will use any means necessary to impede the player’s progress. 
