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Silent Hill: Origins (also known as Silent Hill Zero in Japan) is the fifth installment in the Silent Hill survival horror series, developed and published by Konami and Climax Studios for the Sony PlayStation Portable. It was first released in North America on November 6, 2007. and was re-released on PlayStation 2 by Monolith Productions in March 4, 2008 (North America release date) This game is a prequel, set 7 years before the first game, and intended to explain the series's eponymous town's backstory. 
The protagonist of Silent Hill: Origins is Travis Grady, a seemingly ordinary trucker who suffers from haunting nightmares that seem oddly familiar to him. While out on a job one day near the town of Silent Hill, a figure suddenly steps out in front of his truck and collapses, forcing him to quickly stop and nearly crash in the process. He gets out to investigate, only to find that the figure has disappeared. As he's going to get back in his truck, he spots a girl behind him in the rear view mirror, only to find no one there when he turns. The enigmatic girl finally appears in front of the truck, but runs off into the fog without a word. Thinking she might be the figure he nearly hit earlier and could possibly be hurt, he runs after her and learns that the thick fog is actually smoke, coming from a burning house. A scream tells him that someone is still inside, and he courageously enters the blaze to try and save whoever it is. He pulls a young child from the fire, then collapses outside. An unknown amount of time later, he wakes up to find himself in Silent Hill. He then decides to head to the nearest hospital, Alchemilla Hospital, to find out what became of the child he rescued.
Along the way, he encounters many of the same unnatrual events like those of the former Silent Hill titles. Pervasive fog, yawning chasms crossing streets and completely blocking his way, and the town being unnaturally deserted, though there is no dialogue to indicate Travis's reaction to these sights. 
The hospital, much like the town, seems unnaturally deserted. Travis runs into a doctor by the name of Michael Kaufmann and asks him about the child, but he claims that no such patient exists and hurries off. Puzzled, Travis continues to search the hospital and stumbles upon a room with a large mirror that reflects a horrific, twisted version of the room. The girl who led him to the fire suddenly appears in the reflection and touches the mirror, prompting him to do the same and suddenly find himself within the "Otherworld". After fighting through a number of demonic entities, Travis finds a strange, triangular object with the word "Future" engraved in it. The strange little girl again shows up and he passes out, waking up in the waiting area of the hospital, with things seemingly back to normal. He meets the young intern Lisa Garland, who, after confirming he is all right and telling him the kid he rescued, Alessa Gillespie, didn't make it. Lisa then leaves for the Cedar Grove Sanitarium to meet up with Dr. Kaufmann, and Travis decides to head there himself.
In the sanitarium, Travis meets a strange woman named Dahlia Gillespie, who spouts a bunch of religious nonsense before informing him that the house and child swallowed by the fire were hers. This angers him, and he demands to know why she made no attempts to save her own daughter and simply left her to die, remembering her lurking around the scene of the fire. She ignores him and wanders off. He then discovers the files of a patient committed in 1960 who attempted to kill both herself and her son. She would lashe out at the child's father every time he visited, demanding to see her boy. Travis eventually learns that this woman is his mother, Helen Grady, and that he was the son she tried to kill. Although he does not accept this fact, even after encountering and being forced to defeat a demonic, twisted form of Helen. He finds another strange triangle - this time with the word "Past" engraved on it - and is once again confronted by the strange little girl, whom he now suspects to be the supposedly dead Alessa Gillespie, and faints. 
Clues in the sanitarium lobby prompt Travis to head to the Artaud Theatre, where he again meets up with Lisa and eventually is forced to fight another horrific monster. Yet again he finds another triangle piece with the word "Falsehood" engraved on it. He then sees Alessa, who now seems to be transparent, and faints once again.
More clues lead Travis to the Riverside Motel, where he once stayed with his father. Throughout the plethora of clues and letters, Travis discovers his fathers' sorrows for he knew he would never have his wife back. After a confrontation with the Butcher, Travis enters a changed version of the room he had stayed in, where his father had hanged himself. His father then speaks to him and asks him why he pretended not to know he was dead, before transforming into a monster. After Travis defeats the monster he finds another triangle engraved with the word "Truth". Alessa appears, and he confronts her, demanding answers as to why she is putting him through this ordeal, but passes out before getting an answer.
He ends up back in the hospital again, with Alessa. He finds the final triangle piece, which has the word "Present" engraved on it, and makes a strange device resembling the Flauros of the first Silent Hill game, which seems to "free" Alessa, as she is no longer transparent when she appears. She then opens the door for him, and vanishes.
When Travis exits the hospital, Dahlia threatens him and complains about his interfering with the birth of the new God. Alessa appears, and uses her horrific power to transform the town to its Otherworld version. Travis finds a map drawn by a child (most likely Alessa herself)that leads him to the cult's ritual grounds. There he finds the Cult surrounding the burnt body of Alessa. Dr. Kaufmann appears and incapacitates Travis, who is then transported into a dream-like state to fight his final battle with the Flauros Demon. He defeats the Demon and seals it back, temporarily saving Alessa. This causes the birth of an infant that contains half of Alessa's soul. 
Travis returns to his truck happy and ready to start over again. Before leaving, he spots Alessa carrying the baby. We hear static messages of Harry Mason (the protagonist of Silent Hill 1) and his wife finding the baby and deciding to adopt her under the name "Cheryl", and of Dahlia plotting with Kaufmann to use a spell on Alessa to force her other self to one day return so they can complete the ritual. 
Silent Hill Origins Gameplay
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