The Family Butcher is a butcher shop located in Central Silent Hill. The inside is similar to that of a lunch meat stand, complete with freezers and a sink. However, there are carcasses on the floor, hanged meat dripping with blood, and a decapitated bison head on a wall. Sinister events are implied to have occurred in the back, such as human slaughters.
The Family Butcher appears in Silent Hill: Origins, where Travis Grady first encounters the Butcher running his Great Cleaver through a Faceless Nurse. Since the Butcher is born from Travis' psyche, the store's real owner is unknown.
Inside the store, Travis can find a save point, a health drink and a first aid kit. There are also a few weapons that can be obtained, including a meat hook and a meat cleaver, both jabbed into hunks of meat.
- When Travis returns to the butcher shop, the corpse of a Faceless Nurse, which wasn't there when he first arrived, will be lying outside the entrance.