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Silent Hill 4: The Room

24 Games with a horror setting like Silent Hill 4: The Room that you should try

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We filtered the 40 games similar to Silent Hill 4: The Room down to the 24 that fit the “Horror” category. Fatal Frame II: Crimson Butterfly, Fatal Frame and Eternal Darkness: Sanity's Requiem top the list, ranked by affinity and similarity score to Silent Hill 4: The Room.

iRank74/ 100

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GenreSurvivalSubgenreCo-op PvE Survival
Tags
DarkSolo
Year 2004Dev Team Silent
Stores

Quick answer

Within the “Horror” category, the closest game to Silent Hill 4: The Room is Fatal Frame II: Crimson Butterfly — scoring 97/100 on our similarity scale. Fatal Frame and Eternal Darkness: Sanity's Requiem follow close behind.

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The best games with a horror setting like Silent Hill 4: The Room

24 similar games foundUpdated July 2026

Handpicked by our similarity algorithm, these are the titles with the highest gameplay match to Silent Hill 4: The Room. Each one has been evaluated across 7 real attributes — from combat style and progression mechanics to world structure and visual perspective — so every recommendation is based on how the game actually plays, not just its genre label.

Fatal Frame II: Crimson Butterfly
SurvivalCo-op PvE Survival
SoloDarkHorrorFirst PersonThird Person
IGDB87· 2
Year 2003Dev TecmoOn PlayStation 3

✓ Nearly identical: survival mechanics, adventure storytelling and dark, oppressive atmosphere.

Fatal Frame
SurvivalCo-op PvE Survival
SoloDarkHorrorFirst PersonThird Person
IGDB81· 1
Year 2001Dev Tecmo · Wanadoo EditionOn PlayStation 3

✓ Nearly identical: survival mechanics, adventure storytelling and dark, oppressive atmosphere.

Eternal Darkness: Sanity's Requiem
SurvivalCo-op PvE Survival
SoloDarkHorrorThird Person
IGDB90· 1
Year 2002Dev Silicon Knights · Nintendo

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings puzzle design, while skipping visual first person

Silent Hill: Origins
SurvivalCo-op PvE Survival
SoloDarkHorrorThird Person
IGDB80· 4
Year 2007Dev Climax LA · Konami Digital Entertainment

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings puzzle design, while skipping visual first person

Silent Hill: Shattered Memories
SurvivalCo-op PvE Survival
SoloDarkHorrorThird Person
IGDB75· 6
Year 2009Dev Climax Studios · Konami

✓ Nearly identical: survival mechanics, adventure storytelling and dark, oppressive atmosphere.

≠ Missing: visual first person.

Haunting Ground
SurvivalCo-op PvE Survival
SoloDarkHorrorThird Person
IGDB70· 2
Year 2005Dev Capcom Production Studio 1 · CapcomOn PlayStation 3

✓ Nearly identical: survival mechanics, adventure storytelling and dark, oppressive atmosphere.

≠ Missing: visual first person.

Silent Hill: Downpour
SurvivalCo-op PvE Survival
SoloDarkHorrorThird Person
IGDB70· 8
Year 2012Dev Vatra Games · KonamiOn PlayStation 3

✓ Nearly identical: survival mechanics, adventure storytelling and dark, oppressive atmosphere.

≠ Missing: visual first person.

Rule of Rose
SurvivalCo-op PvE Survival
SoloDarkHorrorThird Person
IGDB60· 2
Year 2006Dev Punchline · Sony Computer Entertainment

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings puzzle design, while skipping visual first person

97
P.T.
SurvivalCo-op PvE Survival
SoloDarkHorrorFirst PersonStealth
Year 2014Dev Kojima Productions · KonamiOn PS4

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings puzzle design and stealth mechanics, while skipping visual third person

Slender: The Eight Pages
SurvivalCo-op PvE Survival
SoloDarkHorrorFirst PersonExploration
Year 2012Dev Parsec ProductionsOn PC · Mac

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings exploration and discovery, while skipping visual third person

Silent Hill
SurvivalCo-op PvE Survival
SoloDarkHorrorThird PersonRanged
IGDB82· 1
Year 1999Dev Team Silent · KonamiOn PlayStation 3

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Its own twist: puzzle design, strong narrative focus and ranged combat, while skipping visual first person

Silent Hill 2
SurvivalCo-op PvE Survival
SoloDarkHorrorThird PersonMelee
IGDB90· 1OC87· 160
Year 2001Dev Team Silent · Konami

✓ Both are PvE survival games — sharing survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings puzzle design, strong narrative focus and melee combat, while skipping visual first person

Alone in the Dark: The New Nightmare
SurvivalCo-op PvE Survival
SoloDarkHorrorThird PersonNarrative
IGDB80· 1
Year 2001Dev Darkworks · InfogramesOn PlayStation 3

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Stands apart with puzzle design and strong narrative focus, while skipping visual first person

FIVE NIGHTS AT FREDDY'S: HELP WANTED
SurvivalCo-op PvE Survival
SoloDarkHorrorFirst PersonNarrative
IGDB90· 1OC52· 10
Year 2020Dev Steel Wool Studios · Steel Wool GamesPlaytime ~2hOn Xbox · Nintendo

✓ Fits the PvE survival games cluster, with survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Where it differs: brings puzzle design, deep RPG systems and strong narrative focus, while skipping visual third person

Parasite Eve
SurvivalCo-op PvE Survival
SoloDarkHorrorThird PersonStealth
IGDB60· 1
Year 1998Dev Squaresoft · Square Electronic ArtsOn PlayStation 3

✓ Same family of PvE survival games: survival mechanics, adventure storytelling and dark, oppressive atmosphere

≠ Its own twist: deep RPG systems, stealth mechanics and fantasy world, while skipping visual first person

Complete list of games with a horror setting like Silent Hill 4: The Room

The full catalog of games sharing gameplay DNA with Silent Hill 4: The Room, ordered from highest to lowest similarity score. Use the filters above to narrow down by genre, setting or game mode and find the alternative that best fits your playstyle.

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