The Fool tarot card is one in a set of five cards that Heather Mason must collect in Silent Hill 3. Heather can find the card inside of a book about Aglaophotis in the hidden hospital room on the basement floor of the Order's chapel. The room used to belong to Alessa Gillespie when she was being treated in Alchemilla Hospital. The card must be used to solve the Tarot Card Puzzle in Alessa's bedroom on the first floor in order for Heather to reach the final area of the game.
- The Fool is number 0 in a standard deck of 22 major arcana.
- According to the Book of Lost Memories, the "Fool" is representative of Heather herself, and her connection to Alessa and Cheryl Mason.