The unsettling atmosphere created by the sound design and the creatures makes the player feel scared and nervous. The creature design in Silent Hill 1 is polygonal and looks silly in the modern graphic age, but these creatures are scary because the player fills in all the blanks.

The Silent Hill name is almost synonymous with horror in video games, and it earned that reputation without relying on excessive gore to scare players. The games manage to elicit reactions of fear and uneasiness from fans through how intricately they are designed.