Review
Although not as good as SH1,2,3, but defintely a title worth playing for horror fans.

Most creepy and frightening of the four games
The dialogue is in English but you have a choice of English or Japanese subtitles. This is the game to play if you want to be frightened. It is also the most difficult of the four games in that there is only one save spot…and during the later half of the game it is no longer safe. There is reference to the previous game. If you have a completed game save from SH3 some of the dialogue is different. There are numerous references and characters from previous games.

The most creepy, scariest, frightening game of the series.
If that is what you want this is the game for you. This game is difficult and frustrating since there is only one game save location. Some of the creatures in this game cannot be killed.

Fully English...
This item is a real gem, EVERYTHING is in English - the default ingame text language, plus the case insert and the manual. Thanks Play-Asia for this bargain!

Your moneys worth
If you want a game that is frightning, unnerving, frustrating, irritating, and difficult (in approximately that order) this game will give you a run for your money.

This is the best or worst of the Silent Hill franchise.

Very highly recommended!