In Silent Hill 3 the player controls Heather, a simple teenage girl. One fine day she goes shopping, but suddenly finds herself trapped in a strange, terrifying place - the eerie town Silent Hill. She hears footsteps; disgusting, creepy monsters attack her, and she has to defend herself. Exploring Silent Hill - and her own past - Heather must find a way to escape the dreadful town.

The third installment in the Silent Hill series is similar to its predecessor visually and gameplay-wise. Like the previous entries, it is a survival horror game combining action-based (predominantly close-ranged) combat and puzzle-solving. The game is somewhat more combat-oriented than the preceding installments. Heather is able to side-step and block some attacks, but in general shares with the other protagonists of the series their relative ineptitude in combat.