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What do you think of when you think of a woman in pain? There are no tidy universalisms here, but for many of us, even most of us, pain is private and domestic. You could think of a mother shouldering burdens alone while her husband is at work. The father in the waiting room while the mother screams with strangers. A woman going to the doctor about an ache, only for him to tell her to lose weight and deny the problem is even happening.
All these things are simple clichés–tropes stolen from life and television. When Silent Hill f conjures a woman’s private pain, it is with cutting specificity. In one of the most grisly moments of body horror in video games this year (or ever, really), protagonist Hinako turns into an emblem of her own sorrow, her own compliance, her own screaming rage.
Spoilers follow.
Like its predecessors, Silent Hill f takes place both in a “real world,” covered in fog and invaded by twisted human forms, and in an “other world,” which distorts the real. Unlike its predecessors, the gap between the real world and the other world is clearly delineated. Whenever Hinako falls unconscious, she wakes up in the

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