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Age Ratings and Content Warnings - Version 5 vs Version 6
Sep 21, 2026, 01:41 AM
Rewrote the Accessibility section around the feature lists both storefronts published between September 15 and 21: five features on Steam and twenty-two on the PlayStation Store, with the one template entry that contradicts the voice cast flagged
Sep 27, 2026, 05:32 AM
Added reviewer-observed accessibility options and moved the accessibility section past launch
11SILENT HILL: Townfall is rated for sale by boards across thirteen territories, and Konami has published a content warning of its own separate from any of them. This page collects both, plus what is still unpublished.22Ratings by Board44BoardRegionRatingDescriptorsESRBNorth AmericaM (Mature 17+)Violence, Blood, Strong LanguagePEGIEurope16Violence, Bad Language, HorrorUSKGermany16Belastende Themen, GewaltOFLCAustraliaMA15+Strong Violence, Strong Horror ThemesOFLCNew ZealandR16Violence, Offensive Language, HorrorCEROJapanDViolenceGRACSouth Korea19Violence, horror, inappropriate languageClassIndBrazil18Violence, fear, licit drugs, sensitive themesCSRRTaiwanRViolence, horrorFPBSouth Africa18Criminal techniques, horror, language, violence, photo and pattern sensitivity, competitive intensityIGRSIndonesiaBannedViolence, horror and substance descriptors. Not classified for saleGMediaRussia18No descriptors listedCRLSingapore18Violence66The ratings shown on each storefront follow the region the storefront is serving, so the same product page shows an ESRB mark in North America, a PEGI mark in Europe and a CERO mark in Japan.77The German Steam storefront carries a separate 18 rating of its own, with descriptors covering drastic violence, alcohol, tobacco and coarse language.99Three of these entries independently list alcohol, tobacco or licit drugs among the game's content, in Brazil, Germany and Indonesia. No marketing copy or store description mentions either, so the descriptor lists are the only published indication that the game contains them.1111Storefront Content Notes1313The Steam listing carries its own note alongside the rating: frequent violence and general mature content. The PlayStation Store lists Blood, Strong Language and Violence in North America and Horror, Language and Violence in Europe, matching the board descriptors for each region.1515The Official Content Warning1717Konami published Video and Screenshot Posting Guidelines for the game on September 8, 2026. They carry the only content warning the publisher has issued: "The Game contains depictions of medical procedures and body horror, serious illness, overwhelming healthcare situations, and scenarios involving widespread injury, grief, and loss of life."1919That warning is consistent with what the game has shown. A clinical room with a draped bed, vital-signs monitors and an IV pole has appeared in official footage, Zoe is a clinic nurse, Simon wakes wearing a medical wristband with an IV bag, and the town appears to have suffered some kind of medical outbreak.2222Posting Guidelines2424The same document sets out what players may do with footage. Individual players can post gameplay video and screenshots on a listed set of platforms without asking permission first. Companies and other organisations are not covered by that permission. Commercial use is prohibited, as is isolating parts of the game such as its music or character images, and so is posting content taken from modified or datamined builds. Konami recommends that anyone posting footage display the appropriate age rating and content warnings alongside it.2626Accessibility2828Accessibility information reached the storefronts in the week before launch. On September 15, 2026 the PlayStation Store's accessibility field was present but empty for this title and the Steam listing declared no accessibility feature at all. By September 21 both had changed: the PlayStation Store lists twenty-two accessibility features in its North American, British and Japanese storefronts, and the Steam listing declares five. Neither Konami nor Screen Burn has published an options list of its own, so the two storefront checklists are the whole of the published record.29+Accessibility information reached the storefronts in the week before launch. On September 15, 2026 the PlayStation Store's accessibility field was present but empty for this title and the Steam listing declared no accessibility feature at all. By September 21 both had changed: the PlayStation Store lists twenty-two accessibility features in its North American, British and Japanese storefronts, and the Steam listing declares five. Neither Konami nor Screen Burn published an options list of its own before release, so the two storefront checklists were the whole of the pre-release record.3030Steam3232The Steam listing declares Adjustable Difficulty, Subtitle Options, Camera Comfort, Custom Volume Controls and Stereo Sound. Its remaining accessibility flags are still unset, which records that nothing has been declared for them rather than that the options are absent.3434PlayStation Store3636GroupFeatures listedVisualsVisual Comfort (basic): play without camera movements and effects that might cause visual discomfortAudioVolume Controls, with individual volumes that can be turned down or muted; 3D AudioSubtitles and captionsSubtitles (advanced), with spoken dialogue fully subtitled; Clear Subtitles; Large Subtitles; Captions (advanced), with sounds and effects captioned; Clear Captions; Large CaptionsControlsController Remapping (basic), Adjustable Stick Sensitivity (basic), Adjustable Stick Inversion (basic), and playable without rapid button presses, motion controls, touch controls, controller vibration or the adaptive trigger effectGameplayAdjustable Difficulty (basic), Simplified Quick Time Events, Game Pausing at any time in offline play, and Manual Saving3838Three of those entries say something about the game that no other published material does. Simplified Quick Time Events implies timed on-screen prompts exist somewhere in the game; Manual Saving implies saves are not limited to the automatic kind; and the playable-without entries confirm that the motion controls, vibration and adaptive trigger effects described on PS5 Features can each be switched off. Konami's own September 16 post says the same of the motion controls, calling them customizable in the menu options.3939One entry on the PlayStation list should not be read literally. The store also tags the game as playable without subtitles, and the platform's canned wording for that tag says the game does not include spoken dialogue. That contradicts the announced English and Japanese voice casts on Cast and the neighbouring tag stating that spoken dialogue is fully subtitled, so it is a checklist template artefact rather than a description of the game.4141Two settings that are not accessibility features but do change difficulty have been reported from a press build: a difficulty tier of story, normal or nightmare, and a separate puzzle setting of hinted or normal. Those come from a single hands-on session and are on Combat and Stealth and Puzzles.42+Two settings that are not accessibility features but do change difficulty were first reported from a press build and are confirmed in reviews of the released game: a difficulty tier of Story, Normal or Nightmare, and a separate puzzle setting of Hinted or Normal. Both are on Combat and Stealth and Puzzles.4343The game has no published photosensitivity warning of its own. The South African board's descriptor list is the only rating entry that mentions photo and pattern sensitivity.4545The lists above are storefront declarations made by the publisher, not a tested options menu, and the game itself has not shipped. What can be said three days before release is narrower than it sounds: a player who needs to know which options exist now has two official places to look, and neither has yet been checked against a finished build.46+The lists above are storefront declarations made by the publisher rather than a full options list. Reviews of the released game add what the options menu offers: subtitles and closed captions that can be switched on separately, an adjustable subtitle background, the separate combat and puzzle difficulty settings, and toggles for the adaptive trigger effect, auto aim, the letterbox frame and an on-screen play time. One reviewer of the PlayStation 5 version found that controls could not be remapped. Neither Konami nor Screen Burn has published an options list of its own as of September 27, 2026.
