Valtiel needs to gain a little help from an old friend, but he doubts how well Pyramid Head will react. Some old wounds still sting, and contempt is something not easily banished.

The horror isn't over. Snatched from defeating Claudia at the last second, Heather Mason is whisked outside of Silent Hill only to be reluctantly teamed with three other teens, who have faced horrors of their own, to confront a reborn Samael.