Back in the Fog World, Travis wakes up in the hospital lobby and meets Lisa Garland, a nurse who informs him about the sanitarium and tells him that Alessa died in the fire. The brown-haired girl appears, and Travis again loses consciousness to the siren. Later on, Travis encounters a convulsing monster and, after its defeat, finds a strange triangular piece belonging to an object known as the Flauros. Travis meets Lisa Garland in Alchemilla Hospital. On the other side of the mirror which reveals the Otherworld, the brown-haired girl appears and Travis is transported to the hospital's Otherworld. After battling with the nurse and continuing his search in the hospital, Travis is confronted by a large mirror with an unusual reflection. On the second floor of the hospital, Travis is attacked by a nurse monster. Michael Kaufmann, but is unable to find out any information, as Kaufmann claims that the hospital has received no new patients. At the hospital, Travis briefly meets Dr. After recalling the events of the previous night, he travels to Alchemilla Hospital in hopes of finding the girl's condition. The next day Travis wakes up on a bench in Central Silent Hill.

Upon exiting the house, he hears sirens in the distance and loses consciousness. After making his way through the burning house, Travis discovers a severely burned young girl lying on top of an apparent sacrificial marking, and carries her outside with the safety of a seal. He sees a woman outside of the house, but before he can talk to her, Travis hears a girl's scream from inside and enters the house to find her. Chasing after her, Travis finds a house caught in a raging fire. Outside his truck, Travis sees a brown-haired girl in a blue uniform. Travis saving Alessa from the house fire. On the outskirts of Silent Hill, a cloaked figure darts into the road in front of him Travis slams on the brakes and exits his truck to check on their condition. He decides to make up for lost time by taking a detour through Silent Hill on his way to Brahms. Travis Grady, a trucker who suffers from visions that are somehow familiar to him, is running late for a delivery one night. Spoiler warning: Plot and/or ending details follow.

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