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Here thar be major spoilers. Do not read if you haven't beat the game all the way through.

Played it, loved it, despite its many many flaws. Now I just need to figure out what the @#$(& happened!

Here's my theory: the entire thing was just a symbolic journey through Cheryl's head. Outside of the therapy sessions, not a single thing we saw actually happened. There's nothing to tie this game with the previous Silent Hills: there's no cult, there's no dark past, there's no evil town. None of the characters we met ever really existed (and this includes Harry!), although they each symbolize something in Cheryl's life. Everything we see is simply Cheryl going on her journey of self-discovery and recognition.

Here's the part that confuses me though: clearly some of the phone calls and text messages we receive were not directly related to Cheryl's life. While the vast majority definitely were her experiences (and boy has she chosen a crappy life...) I can't understand where the Babes in the Woods, or The Choking Game fit into all of this. Cycle of Death is another one that doesn't seem to be about her at all. What am I missing here?

Also, while I like my theory about what the game is, I'm open to hearing other interpretations: I'm sure there's plenty I missed, especially since I've only played it twice (and had several changes in just those two playthroughs).