Both the enemy and human characters are extremely well designed. The main character models have a very real human quality to them, which makes is all the more horrific when you watch a number of them die in highly unpleasant ways. This is a horror game that achieves its goal of being thoroughly nasty from start to end. As with the other titles in the series, The Room has plenty of extras to work towards, including multiple endings depending on how well or how poorly you perform (I'm hoping there's the trademark weird secret UFO ending in there somewhere), along with new unlockable weapons, outfits, and items. This all adds heavily to the replay factor and makes a second, third, or even fourth trip through the game more appealing.
No wonder Henry can't escape room 302.
When all's said and done, I'd have to say that overall I enjoyed Silent Hill 4: The Room just as much as the previous games. Although the initially slower pace and more non-conventional puzzles might annoy some gamers, those who hang in there are in for a hellish treat well worthy of the creepy Silent Hill brand. As always, play this one with the lights turned off and the volume cranked way up. Be prepared with clean underwear on standby... you might just need them.