Lying Figure |

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Skulking, humanoid creatures trapped in what appears to
be straitjackets made from
their own flesh. They attack by spewing a spray of acidic, poisonous mist from an opening in their chest. They are slow whilst
standing upright, but when knocked down they stay in a lying position and move by skittering very quickly along the ground.
The Lying Figure symbolizes a hospital and/or mental patient squirming in agony, and are also a manifestation of James Sunderland's
internal suffering.
Mannequin |

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Headless, armless living sewing dummies which bear a resemblance
to French artist Hans Bellmer's Dolls. These monsters consist of a feminine human torso and legs, upon which rest two more
legs standing upright. The top pair of legs are used for striking while the bottom pair are used for walking. The creatures
react highly to light and tend to stand still in plain sight. However, once the player approaches about three to five feet
away they spring to life and start to attack. The Mannequin is a manifestation of James' natural urges and inclinations which,
accordingly, the game features a sequence depicting Pyramid Head abusing two of them. Although they are not overly strong creatures, they
have the advantage of stealth, as the radio will not emit any static to warn the player of their presence until the mannequin
moves. They are commonly found in the apartment buildings and the Hotel.
Nurse |

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Well endowed nurses wearing
low-cut outfits. Their heads are grotesquely swollen and face backwards, convulsing violently. The nurses are quicker on their
feet than most of the other monsters and wield deadly iron pipes that can deal heavy damage. The Nurses are manifested from
James' memories of Mary's hospitalization, and their attire and shapely bodies are yet another manifestation of James' sexual
frustration.
Mandarin |

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Apelike creatures with massive, tube-like arms. They swing from the underside
of suspended metal catwalks, attacking James as he passes overhead. They also feature in Silent Hill 3 as the enemy known
as Closer, but can walk and attack above ground. The creature is a representation of feeling overwhelming, inexplicable
anguish and, for this reason, the Mandarins are not allowed to stand above ground.
Creeper |

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Insect-like creatures that resemble large cockroaches. They attack by nipping
at James' feet and then quickly running away. Since they also appeared in the first Silent Hill, the player can assume that
they are merely a manifestation of the town and not of James' mind.
Abstract Daddies |

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Small but hulking creatures which take the form of a walking bed, on top of
which are two writhing figures. The creature only manifests after James' fights a larger version of it. While the original,
large version is manifested by Angela Orosco, the smaller ones James fights at the Lakeview Hotel appear to manifest from
his guilt over suffocating Mary.
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