In the German version, finishing moves against humans were removed and some cutscenes were cut. A detailed list of changes can be found on schnittberichte.com
After the Silent Hill
movie in 2006, the next game to appear in the franchise was Silent Hill: Homecoming
, and as such it borrowed a lot of elements from the movie, almost to the point it feels it is based on the movie. Just to name a few obvious movie elements, the transition from ghost town Silent Hill to nightmare from hell town Silent Hill is made in same visual effect of peeling texture of ghost town to nightmare version, and reassembling it the other way around. Then there is the same fanatic cult with same protective suits as in the movie. When you approach the church in Silent Hill, you will encounter a multiple barb fence around and inside it, just as the demi-god used in the movie to dispose of his followers. Not to mention that Pyramid Head has a meaningless cameo just as in the movie, whereas its original appearance in Silent Hill 2
game had direct emotional connection to the player's character.