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All of the other mainline games have been rated CERO:C in Japan, or 15+.
Or maybe they aren’t gory enough to warrant the adults-only rating.
It could be that Silent Hill f is just more violent, not necessarily scarier.
That being said,Silent Hill f looks especially scary to me.
Silent hill f is also unique in its setting.
It takes place in the ’60s and even comes with a warning.
“These depictions do not reflect the opinions or values of the developers or any individuals involved.”
That 18+ rating doesn’t seem so surprising anymore.