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Delusions are simply ordinary men lacking faces, sometimes with a crudely-made stitched flap.
Heather experiences the first hallucination right before her first meeting with Douglas Cartland as a homeless man. The other is a security officer seen outside Happy Burger in the Central Square Shopping Center.
The Delusions may symbolize Heather's wariness of strangers or paranoia of society, or simply be an effect of the Otherworld. The homeless man delusion could symbolize Heather's fear of becoming homeless, especially considering how her and her father are in hiding. The security officer delusion could symbolize how Heather feels that she can't trust law and authoritative figures.
- The appearance of the Delusions is similar to that of Valtiel, a monster seen in Silent Hill 3. However, there is no evidence that the resemblance was intentional.
|Heather Mason - Christopher Da Silva - Vincent Cooper - Claudia Wolf - Leonard Wolf - Dark Alessa - Douglas Cartland - Alessa Gillespie|
|Rose Da Silva - Dahlia Gillespie - Suki - Travis Grady - Order Soldier - Detective Santini - Mannequin Girl|
|Armless Man - Delusion - Leonard Wolf - Lobotomy - Mannequin Monster - Memory of Alessa - Missionary - Nurse - Pyramid Head - Valtiel|
|All Hallows High School - Brookhaven Asylum - Central Square Shopping Center - Jacks Inn - Sanctuary - Silent Hill, West Virginia - Lakeside Amusement Park|
|The Brethren - Halo of the Sun - Monster - Manifestation - Otherworld - Fog World - Real World - Robbie the Rabbit - Seal of Metatron - Siren - The Order - Great Knife - Welcome Sign|