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Toggle Amount of Ammunition:
Once you have beaten the game once, restart the game. Go to the options menu and press R1+L1 to reveal the hidden option menu. You will notice a new option for ability to multiply the amount of ammunition you pick up. Multiply the ammo amount by either two or three.

Unlock Another Hard Riddle Mode:
Play through the game and beat all three riddle difficulty settings Easy, Normal and Hard. If you play through the game again on Hard Riddle level, the puzzles will change, making you think even more.

Get Dog Key
The dog house can be found near Jack's Inn, but only after you've either seen three of the endings (or the Rebirth ending once). The Dog Key can be found inside the dog house.

Get Obsidian Goblet
Play through the game once. The next time through, search the shelves in the Silent Hill Historical Society. You'll find the Goblet.

Get White Chrism
Finish the game once. When you return to Apt. 105 in Blue Creek Apartments, there will be a vial of white chrism in the kitchen. Examine it.

Hidden Options Menu
Go to the options menu and press L1+R1. This will take you to a special hidden options menu.

Read All Writing
Once you get all five endings, go through the game again and you'll be able to read all the writing on signs that was previously obscured. Neat, huh? Now you have a reason to play the game a sixth time.

Chainsaw:
As James runs down the hiking trail toward Silent Hill once again a sound emerges from the mist surrounding Silent Hill Ranch. As he draws closer he can see that a stack of logs has mysteriously appeared across the trail from the ranch and a chainsaw has been left running in the logs. This secret weapon adds a whole new level of fun and gore to a replay game.

Hidden Options Menu:
Go to the options menu and press L1+R1. This will take you to a special hidden options menu.
Read All Writing:
Once you get all five endings, go through the game again and you'll be able to read all the writing on signs that was previously obscured.

Remove Scratchy Filter:
Once you have beaten the game once, restart the game. Go to the options menu and press R1+L1 to reveal the hidden option menu. You will notice a new option that will allow you to turn off the filter that permeates the game, bringing you a clearer picture.