Between scenes, you'll visit a psychiatrist's office who will ask you personal questions about yourself and your past experiences. Your responses will influence the game's story, altering characters and dialogue to make it more unsettling. You'll also discover objects and recordings that reveal the dark history of Silent Hill.
The game features an innovative "memory" system, where your answers to the psychiatrist's questions change the gameplay experience. This adds a layer of psychological horror to the already intense atmosphere of Silent Hill: Shattered Memories .