>>713347528

The Otherworld is just an alternative dimension of Silent Hill that can be entered by people with trauma related to the town. It can also be entered or spread to other places by cultists or people with supernatural powers like Alessa or Walter. The look of the Otherworld dimension and the appearance of its monsters change based on the personal fears and trauma of the person who enters it.

Akira Yamaoka and Masahiro Ito said that their original plan for SH5 was about playing as a normal resident of Silent Hill who slowly enters the Otherworld throughout the game as they experience more and more tragedy in their daily life