Silent Hill: The Card Game is a cooperative game for 3 to 4 players of pushing your luck in an attempt to uncover the mysteries of the town of Silent Hill. Each player takes on the role of one of the protagonists from the Silent Hill movie and must survive through six major scenes from the film in order to win the game. However, the darkness is constantly coming, filled with terrible nightmares, and the creatures that lurk within it are a danger to you all. If more than one protagonist is killed during the course of the game, or if the protagonists encounter the fearful Pyramid Head, then all players lose. Gameplay is divided into two main phases: during the Story Phase, players must silently pass location cards to each other along with a clue as to how dangerous those locations might be. During the Exploration Phase, players push their luck by pulling cubes from a bag to travel along their locations, then push their luck further by flipping the location cards to reveal what they encounter there. If too many dark world locations are revealed, then the players will face horrors from the encounter deck, where the dreaded Pyramid Head lurks...