Silent Hill: The Escape is an adaptation of the Silent Hill franchise for mobile phones. The game is in 3D and played from a first person perspective, similar to classic dungeon crawlers. Players get to explore the surroundings of the town Silent Hill, with locations such as an abandoned hospital and a subway. Usually a key needs to be found to exit a level.

The environments can be lit with a flashlight, but it regularly requires new batteries. Through a danger icon near the top of the screen and the intensity of the radio static, enemies in the vicinity of the player are announced. There is a mini map in the top right corner and different weapons to take down the enemies. Most levels are set in maze-like environments, which become harder to navigate when the flashlight runs out of energy.

On the iPhone, the crosshair can be lined up by tilting the device and tapping the screen used to fire. Similarly, the barrel needs to be lined up with ammo clips shown near the bottom of the screen in order to reload.

In the Symbian version, aiming and reloading can be done using the built-in camera that captures the players gestures. There is also 3D sound and the rate of vibration is increased the closer enemies are, emulating the series' radio static feature that lets know from where enemies are approaching.

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