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Bubble Head Nurse

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Bubble Head Nurse
Hellooo nurse!
Bubble Head Nurse
Other names
Silent Hill 2
Other appearances
Silent Hill: Book of Memories
Brookhaven Hospital
Dark South Vale
All Zones (Book of Memories)
Attack methods

The Bubble Head Nurse is a female monster that James Sunderland encounters in Silent Hill 2, and is suggestive of Mary Shepherd-Sunderland's hospitalization.[1] They appear frequently in Brookhaven Hospital and in the streets of Dark South Vale.

Bubble Head Nurses also appear as a frequent enemy in the spin-off game, Silent Hill: Book of Memories.


They wear provocative attire, exposing cleavage and sporting miniskirts. Their heads face downward, appearing swollen and bloodied and covered in gauze, convulsing violently as they wobble to their target. Their only visible facial feature are bloody, exposed jaws and teeth. When inspected closely the last four fingers of their hands seem to be fused.

The nurses move in an awkward manner, their legs carrying them in a shaky and crooked fashion, making them out to be slow opponent, yet they are surprisingly fast on the attack.


Close-up of an Otherworld nurse.

In Silent Hill 2, the nurses in the Fog World take on a pale white tone, while most of the nurses in the Otherworld have an orange-brown color. These darker nurses lack the bloody mouths; instead having what looks like a transparent film over the nose and mouth area. They also have parasites on their backs, similar to the Puppet Nurses in the first game.

Masahiro Ito drew inspiration for the design of the nurses attire from The Exorcist III, Jacob's Ladder, and bondage-inspired clothing.

Originally, Ito's concept for the nurse was to have the head be a semi-liquid bubble with a thin skin very much similar in appearance to a condom. When the monster got shot, it would simply burst like a water balloon, but this never came to be due to the technical limitations at the time. The weapon also changed from Ito's original design. In the initial stages the idea was for the nurse to have an IV stand with blood packets to attack with, but instead Ito armed the nurse with a steel pipe.[2]


Bubblehead nurse1

James shooting a Bubble Head Nurse.

They emit shrieks and gurgles when approaching him, and carry their own melee weapons, usually pipes similar to James's. They are fairly aggressive and will surround James if he encounters more than one in an area. However, if they come in close contact with one another and decide to attack, chances are they will knock out one of their own close by.

It is advised to fight them from range either with the handgun or the shotgun, as a blow from a pipe can do quite a bit of damage. In the hospital, it is preferred to use the shotgun, due to the narrow corridors, and because they tend to travel in groups. Melee is not the best option for fighting them, but if the need arises, the steel pipe is the favored option due to its range.


The nurses may be manifested by the mind of James, combining his anxieties surrounding his wife's terminal illness and the sexual deprivation that came with it, hence the risqué clothing worn by them. The nurses also die with their legs widely spread apart, a very provocative scene that further contributes to the game's sexual theme.

The bubble, "condom", type head of the nurse is representative of suffocation.[3] This references the events when James killed Mary by suffocating her with a pillow; hence, the reason why their heads convulse violently like somebody trying to break free from being suffocated.[4]

Silent Hill: Book of Memories

Sh book of memories art 20120126 06

Nurse from Book of Memories.

In the spin-off game, Silent Hill Book of Memories, they are simply called "Nurses", as opposed to their full name, and are one of the first enemies to be encountered in the game, appearing in the first zone onwards. The player can encounter light, blood and steel versions of the nurse.

Armed with a steel pipe, they usually attack in groups, are fairly fast, and will attempt to surround the player; however, their attacks only cause a small amount of damage and they are fairly easy to kill, especially from range. They also have a weakness to the steel pipe, the same weapon which they wield.



Dark Nurses in the film.


Dark Nurses in the film.

  • Similar nurse monsters appear in the Silent Hill film and Silent Hill: Revelation, referred to in the credits as "Dark Nurses".
  • In Silent Hill 4: The Room, a uniform akin to the Bubble Head Nurse's can be found in Rachel's apartment room.
  • From the artworks by Masahiro Ito at the gallery below, the Bubble Head Nurses originally comes in different types such as the acid and twin-tail version, but this idea was ultimately scrapped.
  • A Bubble Head Nurse costume could be purchase in the now-defunct PlayStation Home.[1]


  1. Book of Lost Memories
  2. Masahiro, Ito (adsk4). “About "Silent hill 2" Bubble Head Nurse, my originally planned for its head is a semiliquid thing covered with a thin skin like a condom, and it bursts like a water balloon, when it's shotten....” Tweet.
  3. Masahiro, Ito (adsk4). “This tweet is "the Bubble Head Nurse in SH2 is suffocated by covering her head with a vinyl like condom....” Tweet.
  4. Masahiro, Ito (adsk4). "It's representative of suffocated invalid Mary's swallen head. The nurse in SH2, she shakes her head like struggling to shake off the covered vinyl...” Tweet.




Silent Hill 2

Silent Hill: Book of Memories


v · e · d
Major Characters
James Sunderland - Mary Shepherd-Sunderland - Angela Orosco - Laura - Eddie Dombrowski - Maria
Other Characters
Ernest Baldwin - Amy Baldwin - Mary's Doctor - Rachel - Thomas Orosco - Mrs. Orosco - Jennifer Carroll - Patrick Chester - Mira - Harry Mason - Greys - Scott Fairbanks - Walter Sullivan
Abstract Daddy - Bubble Head Nurse - Creeper - Flesh Lip - Lying Figure - Mandarin - Mannequin - Mary - Prisoners - Pyramid Head
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Flashlight - Fog World - Little Baroness - Manifestation - Map - Monster - Otherworld - Radio - Siren - Seal of Metatron - UFO Ending - Sexuality
Memos - Items - Keys - Puzzles - Soundtrack - Secrets and Unlockables
v · e · d
Major Characters
Ashley Baker - Derek Copeland - Graham Reynolds - Howard Blackwood - Jack Merrick - Katie Collins - Matthew Collins - Protagonist - Lorelai Reynolds - Shannon - Trent Baker
Other Characters
Alex Shepherd - Cybil Bennett - Emma - Harry Mason - Heather Mason - James Sunderland - Jason - Joshua Shepherd - Lisa Garland - Mary Shepherd-Sunderland - Mira - Murphy Pendleton - Travis Grady - Walter Sullivan
Air Screamer - Blood Baby - Blood Guardian - Blood Mama - Bogeyman - Bubble Head Nurse - Butcher - Double Head - Earth Guardian - Fire Guardian - Flesh Lip - Ghost - Grey Child - Insane Cancer - Light Guardian - Needler - Mother - Pyramid Head - Raw Shock - Tremer - Schism - Steel Guardian - Swarm - Valtiel - Water Guardian - Wood Guardian - Wood Sapling
A. Y. Guitar - Assault Rifle - Baseball Bat - Bare Hands - Beam Saber - Bogeyman's Hammer - Chainsaw - Circular Saw - Crossbow - Crowbar - Dagger of Melchior - Earth Sword - Fire Axe - Fire Sword - Flamethrower - Great Cleaver - Great Knife - Great Spear - Grenade - Guitar - Handgun - Hyper Spray - Katana - Knife - Maul - Meat Cleaver - Laser Gun - Pickaxe - Pillow - Pipe - Princess Heart - Robbie Doll - Rock Drill - Shovel - Shotgun - Steel Sword - Stun Gun - Sword of Obedience - Submachine Gun - Television - Torch - TV Remote - Water Sword - Wine Bottle - Wood Sword - Wood Plank
Howard's Shop - Library - Forsaken Room - Armory - Otherworld
Monster - Flashlight - Accessories - Artifacts - Karma Meter - Book of Memories - Welcome Sign

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