After the awesomeness that Siren: Blood Curse was last month, and all the fanboy anti-hype, I was ready for this game to be only as good as 3 or The Room, which is to say, "Pretty awesome in some ways and pretty boring in others".
Well, I've played about 3 hours or so, I don't think I'm very far at all because I'm exploring very carefully in order not to miss any story, and well, fucking wow. So far it is definitely every bit as good as SH2 in terms of story, and gameplay is so much more streamlined and fun.
There is one problem. It's hard. It's HARD. Save points are very far apart (though Checkpoints aren't). And the part I am at now, there is a boss fight and I have half health and one Health Drink to my name. I think I may even be stuck, because this boss is a FUCKER.
So, word to the wise, don't fight ANYTHING you don't have to and hoard your healing items because this game does NOT suffer from "Give you tons of ammo and health" like every other Silent Hill. Not by a longshot.