Read This Before You Play: Silent Hill f’s Stark Content Warning and What to Expect

Konami’s new Silent Hill title, Silent Hill f, opens with a clear content warning because the game includes several difficult and graphic themes. Below, you’ll find a concise, fact-based guide to what that warning covers and what players should expect.
Content warning summary
First, the concrete facts: the game is rated M and includes graphic violence, depictions of gender discrimination, child abuse, bullying, and drug-induced hallucinations. Additionally, the story contains torture and other disturbing imagery. The game is set in Japan during the 1960s and draws on the customs and culture of that period for context.
Exact warning shown at startup
The startup message reads:
“This game contains depictions of gender discrimination, child abuse, bullying, drug-induced hallucinations, torture, and graphic violence.
The game is set in Japan in the 1960s and contains depictions based on the customs and culture of that time. These depictions do not reflect the opinions or values of the developers or any individuals involved.
If you feel uncomfortable at any point, please take a break from playing or speak to someone you trust.”
Key themes and setting
Silent Hill f follows protagonist Hinako and explores family dynamics and social pressures. Importantly, the game presents domestic abuse and peer bullying as central elements of the story. For example, early plot details establish an abusive, alcoholic father and a mother who is portrayed as enabling that behavior. In one on-screen quote, Hinako explicitly says, “Women get treated… no differently than animals…”
Moreover, the game focuses on teenage experiences and how peers treat Hinako, including insults and having her gender questioned. At the same time, the setting—Japan in the 1960s—is presented as part of the narrative backdrop, and Konami’s warning clarifies that these depictions are contextual and do not reflect the developers’ personal views.
Violence, gore and specific content
Concrete elements of violence in the game include depictions of torture, murder, dismemberment, burning, flaying, and self-inflicted harm. Some of the most intense moments are shown directly, while others occur off-screen but are implied. There are scenes that include gore and bodily harm that many players will find explicit.
Additionally, certain death visuals may trigger trypophobia for some players. For factual context about trypophobia, see this Cleveland Clinic page. The game also contains creature designs and grotesque imagery, and nudity is largely confined to such non-human monsters rather than sexualized scenes.
The franchise has a history of mixing body horror with surreal or unexpected elements, and Silent Hill f continues that approach. For example, previous entries included odd, uncanny scenes such as a tormenting Shiba Inu in a surreal setting; the series’ tone remains unsettling and often symbolic.
Sensitivity notes and safety advice
If you are sensitive to depictions of abuse or graphic violence, the game may be upsetting. The developers and publisher advise players to take breaks and stop playing if they feel uncomfortable. For a practical suggestion about brief mental breaks, some players find simple, non-stressful activities helpful; one source referenced in discussion of coping strategies is this review.
In short, the content warning is explicit and should be taken seriously. If you are planning to play, be prepared for a darker, more graphic tone than some earlier Silent Hill entries, and consider stepping away if scenes become overwhelming.