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Silent Hill 4: The Room Limited Edition Soundtrack was an exclusive for the United States, bundled with pre-ordered copies of Silent Hill 4: The Room. It contains 7 tracks from the original soundtrack for Europe and Japan and also 13 exclusive tracks and remixes.
- Room of Angel (7:08)
- Melancholy Requiem (3:53)
- Cradel of Forest (6:30)
- Sliced (1:06)
- Fortunate Sleep - Cat Scratchism Mix (3:05)
- Mayheim I (5:16)
- Sunrise (1:01)
- Resting Comfortably - Nasty Remix (2:17)
- Nightmarish Waltz (3:09)
- Lifetime (1:14)
- Last Movie (1:06)
- Tender Sugar (5:32)
- Your Rain (4:42)
- Two Evils (2:04)
- Underground Dawn - EEE Mix (4:12)
- Memories II (3:34)
- Tender Sugar - Empire Mix (5:14)
- Waverer - Slide Mix (3:04)
- Your Rain - Rage Mix - (1:29)
- Waiting For You (6:19)