How to Survive the Horror

Silent Hill f Tips: Everything You Need to Know About Combat, Monsters, Items & Puzzles

Guide
A Japanese schoolgirl looks worriedly through a barred door.
Silent Hill f Cover
Status: Released
Release: 25.09.2025

With our tips for Silent Hill f, you’ll get the perfect start to this dark survival horror adventure.

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We’ll show you how to survive fights, use resources wisely, and move safely through the nightmarish streets of Silent Hill f.

In this tips guide to Silent Hill f, you’ll learn:

  • Why you should avoid confrontation whenever possible
  • How to read enemy behavior
  • What to watch for while exploring
  • How to use resources efficiently
  • The role of Focus attacks and dodging
  • Why your inventory matters

With the right approach, you’ll get through the toughest sections of Silent Hill f—whether you’re new to the franchise or a longtime fan.

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Silent Hill f: Tips for Combat and Monsters

Avoid unnecessary fights

One of the most important early tips: only fight when you truly have to. Many enemies can be snuck past or shaken off. That saves not just health, but also precious resources like healing items and tool kits. Most foes don’t respawn once defeated, so you can safely backtrack later for items or collectibles you missed or couldn’t carry.

Learn enemy behavior

Watch your enemies closely. Many attacks are telegraphed by colored flashes or distinct movements. If you learn these patterns, a perfectly timed dodge lets you set up precise counterattacks. A well-timed counter after a dodge often deals far more damage than swinging first. Use that to end encounters faster.

Listen for audio cues

Plenty of enemies announce themselves by sound. Pay attention to:

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  • shuffling footsteps
  • unnatural breathing
  • changes in the background soundtrack

Play with headphones to pinpoint direction more accurately. You’ll detect enemies earlier and be better prepared.

Use Focus attacks sparingly

Focus attacks stun enemies and open a brief window for massive damage. The catch: they consume your Sanity gauge. Save them for moments that truly matter—bosses or tight spots. Don’t drain your sanity too often. If it’s empty, you’re more vulnerable to mental effects and lose access to certain abilities.

Dodging matters—watch your stamina

Constant evasive rolls will chew through stamina fast. Instead of panic-rolling like in your first hours of Elden Ring, practice perfect, well-timed dodges. You’ll conserve energy and stay mobile. Perfect dodges also refill stamina. Clean stamina management is crucial, especially against multiple enemies.

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Boss fights: patience over brute force

Bosses in Silent Hill f usually have clear weak points that are only exposed briefly. Watch for big movements or brief pauses—that’s your opening. Use Focus attacks in those moments or switch to heavy hitters like the sledgehammer or axe. If you take damage, sprint out to reset and watch for ranged attacks.

The key enemies in Silent Hill f and how to beat them

Silent Hill f features a range of enemies with distinct attack patterns, each requiring a different strategy. Here’s an overview of the most important foes and how to handle them:

Kashimashi

Humanoid blade-wielders (standard enemies). Keep mid-range and wait for an attack, then dodge sideways or back with perfect timing. Follow up with a heavy strike. Counter when possible and pound on the staggered target. Don’t overcommit, or you’ll eat hits. Watch out for the grab!

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A scene from Silent Hill f shows a Japanese girl fending off several monsters with a steel pipe.
Hinako has to put up a real fight against the Kashimashi in Silent Hill f. © Konami

Oi-omoi / Multi-headed Monsters

Patchwork dolls or clusters of human heads on two legs. Very slow but dangerous thanks to AoE and ranged attacks. Keep your distance and wait for their area attack to go off. When it ends, sprint in for quick hits, or use heavy blows or Focus to stagger them. Beware of spit attacks!

A schoolgirl defends herself in Silent Hill f with a steel pipe against a multi-headed, two-legged monster.
These beasts may be slow, but they attack from a distance and deal area damage. © KONAMI / S4G

Ayakakashi (Scarecrow)

Often sneaks up to—or suddenly appears behind—you with a sickle in hand. Keep your distance and watch its movement. Respond to sickle swings with perfect dodges, then strike back quickly.

Silent Hill f Screenshot – Schülerin mit Eisenstange vor mehreren untoten Vogelscheuchen im Nebel.
Scarecrows love to ambush Hinako and slash from behind with their sickles. © Konami / S4G

Glowing Monsters

Highly aggressive and will grab Hinako to drain her energy by licking. Stay on the move, dodge their attack strings, and use strong Focus strikes or counters for quick punishes.

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A glowing monster licks a schoolgirl.
Do everything you can to avoid getting grabbed by these ugly creatures. © KONAMI / S4G

Flesh Heaps / Drum Monsters

Grotesque lumps of flesh or huge drum-like creatures with stretchy arms. Use weapons with decent reach. Dodge their melee swings, then counter when you have the opening. Fight patiently!

A group of students hides on a dark street from a monster in the fog.
At the start, you’re no match for the Flesh Lumps, so it’s better to run for your life. © KONAMI / S4G

Birthing Monsters

Slow, tanky brutes that constantly spawn additional enemies. Keep your distance and clear the adds. Dodge spit and throw attacks, then follow up with quick strikes. Patience pays off here, too. Make sure you’ve got enough space around you for precise dodges — if it corners you, it’s over fast.

A grotesque monster made up of multiple pregnant bellies.
Disgusting and dangerous: it’s best to keep your distance from these grotesque creatures. © KONAMI / S4G

The most important weapons and how they handle

Always carry at least two weapons. Ideally, a quick stabbing or slashing weapon for tight corridors, plus one or two medium or heavy weapons for groups or tougher foes.

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  • Kitchen Knife: One-handed, fast and light, but low durability.
  • Sickles: Fast one-handed melee, great for precise strikes.
  • Hammer: One-handed, hits hard—good against bigger enemies.
  • Steel Pipe: Two-handed melee with good reach; relatively quick, but lower damage and durability.
  • Baseball Bat: Two-handed, medium damage and solid reach, but short durability. Often found in backyards.
  • Axe: Two-handed heavy with high stopping power and reach, but slow and limited durability.
  • Sledgehammer: Two-handed heavy with high stopping power and reach, but slow and limited durability.
  • Crowbar: A balanced middle ground between axe/sledgehammer and steel pipe/baseball bat in speed, power, and durability.

Silent Hill f tips: Know your items and use them right

Save resources for critical moments

Tool kits are extremely valuable in Silent Hill f. You need them to repair weapons as they degrade with use. Spend them only on top-tier weapons or in an emergency. Always carry a backup weapon; if your main breaks, you can still defend yourself. Don’t waste healing items either.

A Japanese schoolgirl holds a broken baseball bat.
Weapons wear down in Silent Hill f. You can repair them with tool kits. © KONAMI / S4G

Always make sure you’re carrying enough bandages and first-aid kits. Chocolate and pills are nice to have, but you can skip them if you must—your inventory space is limited. Think carefully about what to carry, what to leave, and what to offer at shrines.

The most important items and what they do

Consumables for healing and restoring Sanity are essential in Silent Hill f. Some you’ll need often; others only occasionally. Here’s a quick overview of the key items:

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  • First-Aid Kit: Fully restores health — very important.
  • Bandage: Restores a large portion of health — very important.
  • Red Capsule: Restores a bit of health and sanity — less important.
  • Holy Water: Fully refills the sanity gauge and temporarily slows sanity loss — less important.
  • Kudzu Tea: Restores health and a small amount of sanity — less important; can be offered at shrines.
  • Ramune: Restores a large amount of sanity — less important; can be offered at shrines.
  • Yokan: Restores a large amount of health — less important; can be offered at shrines.
  • Arare: Minor healing — less important; can be offered at shrines.

Upgrades in Silent Hill f: What to level up first

Beyond consumables, you’ll also come across extremely rare Ema—small painted wooden plaques you can spend at save-shrines for upgrades. You’ll also need Faith, which you gain at shrines by redeeming offerings you’ve found (e.g., an antique comb, shriveled aburaage, etc.).

Always keep at least one inventory slot free for offerings, and redeem them whenever you can. Once you have enough Ema and Faith for an upgrade, invest in Hinako’s stamina immediately. That should be your first move — before health, Sanity, or spending Faith on an Omamori.

Omamori are passive skills that grant Hinako various perks, such as higher max stamina or easier perfect dodges. You can claim random Omamori at save-shrines and find a few in the world. Still, we recommend saving Faith for upgrades first—stamina, then health, then an extra Omamori slot. That setup prepares you for the demanding mid-game fights.

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Tips for the map, exploration, puzzles, and NG+

Explore thoroughly—but carefully

Almost every detour pays off in Silent Hill f. Off the main path you’ll often find healing items, upgrade materials, and story intel. But plenty of enemies lurk in dark corners and behind doors. Move slowly, check every room, and keep your eyes and ears open.

Be strategic with puzzles

Puzzles in Silent Hill f scale with difficulty. The higher the setting, the subtler the clues. Read every note carefully, inspect suspicious objects, and compare them with symbols you’ve already seen. Tough puzzles often require combining multiple hints. Open your journal regularly for solution nudges or directions. It updates automatically and helps you keep track.

One playthrough isn’t enough

A single playthrough of Silent Hill f takes about twelve hours—but that won’t cut it. You should play through at least a second time. There are five different endings, and you’ll only experience them all across multiple runs. Your first clears the initial ending; New Game Plus lets you unlock the other four.

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Each run adds more story details, new cutscenes, and extra gameplay elements you couldn’t see before. Among other things, Hinako’s journal entries change based on your choices, adding new background and deepening the game’s psychological and narrative layers. If you’re chasing full completion, you’ll be replaying anyway—see our trophy guide for how many runs you’ll need.

Summary: How to master Silent Hill f

Getting started in Silent Hill f can be challenging thanks to its mix of psychological horror, scarce resources, and demanding combat. Keep these points in mind and you’ll be in great shape:

  • Only fight when necessary
  • Use Focus attacks deliberately
  • Explore thoroughly—but carefully
  • Save tool kits and healing items
  • Learn enemy movement patterns
  • Tune in to the soundscape
  • Stay patient in boss fights

With these tips, you’ll navigate the opening hours with confidence—and give yourself the best chance to survive the horrors of Silent Hill f.

Picture of Josef Erl

Josef Erl

Josef is a freelance online journalist and heads the S4G editorial team. He plays anything that captivates him with an engaging story and innovative gameplay mechanics. As the former editor-in-chief of MIXED-news.com, he is also highly experienced in the fields of virtual reality, augmented reality, and mixed reality.
Silent Hill f Cover
Status: Released
Release: 25.09.2025