The Eileen Head (unofficial name) is a non-combative "monster" of sorts found in a room within the Otherworld version of St. Jerome's Hospital in Silent Hill 4: The Room.


Eileen Head

Eileen Head

A video of the head.

The Eileen Head is simply Eileen Galvin's head, but her skin is scarred and diseased-looking and her eyes are bloodshot. Her eyes twitch erratically and follow Henry around the room, ignoring Eileen.

Eileen makes no comment on it, giving the possibility that the head is invisible to her (in the same location, it is revealed Eileen can't see the Halo of the Sun). The head moans and breathes quite heavily. Her eyes will light up and flicker if zapped by the stun gun.


  • The head appears in a room in the 2nd floor hallway that is randomized with every playthrough.
  • If the player enters the room, the camera will only show Henry and the door he entered. If the player hears breathing, they're in the same room as the head.
  • As long as the player doesn't move further into the room and instead exits, they won't have to encounter the head.
  • It is a good idea to mark where the head is so the player doesn't enter the same room accidentally.


Since the Otherworld in Silent Hill 4 is most likely caused by Walter Sullivan, it may be a reflection of his thoughts or psyche. Eileen was supposed to be another sacrifice, but she survived, which the scars may represent.

Her heavy breathing sounds as if she is using a breathing tube, like the ones used in hospitals. Her breathing may also be interpreted as being sexual and orgasmic, as if she is having sex or is masturbating. This could allude to conception and her role as a sacrifice, since she is the "Mother Reborn".

Eileen Sleeping

Eileen snoozing on her bed.

The head may represent Henry's violation of Eileen's privacy. Throughout the game, Henry may repeatedly check Eileen through the peephole. Although it can be argued Henry is doing it to see if Eileen is okay, he is still spying on her. The head may be an inversion of this - now, Henry is the one being watched. However, the head still appears no matter what, regardless of how often Henry checks on Eileen. 

Another theory is that the head represents Henry's concerns for Eileen's safety. It is evident that Henry cares about Eileen. He doesn't want Eileen to die or be sick, and he isn't certain whether or not she's still alive during the hospital level. Henry coming (literally) face-to-face with a diseased-looking Eileen is likely uncomfortable for Henry and a manifestation of his fears.

Another theory is that the head is Eileen's monster and manifested by Eileen's feelings, and a subconscious manifestation of her internalized trauma from being beaten and nearly killed.


v · e · d
Major Characters
Henry Townshend - Eileen Galvin - Walter Sullivan - Cynthia Velasquez - Jasper Gein - Andrew DeSalvo - Richard Braintree - Joseph Schreiber
Other Characters
Frank Sunderland - Billy Locane - Bobby Randolph - Eric Walsh - George Rosten - Jimmy Stone - Mike - Miriam Locane - Peter Walls - Rachel - Rick Albert - Robbie the Rabbit - Sein Martin - Sharon Blake - Steve Garland - Toby Archbolt - William Gregory - James Sunderland - Mary Shepherd-Sunderland
Aluminum Bat - Chainsaw - Handgun - Submachine Gun - Knife - Pipe - Bug Spray - Chain - Eileen's Bag - Golf Club - Nightstick - Pickaxe of Despair - Revolver - Rusty Axe - Riding Crop - Spade - Stun Gun - Torch - Wine Bottle
Bottom - Conjurer - Eileen Head - Ghost (Victim 16 - Victim 17 - Victim 18 - Victim 19) - Greedy Worm - Gum Head - Hummer - Patient - Sniffer Dog - The One Truth - Toadstool - Tremer - Twin Victim - Wall Man - Wheelchair
Albert's Sporting Goods - Ashfield - Bar Southfield - Garland's - Hotel South Ashfield - Room 302 - Room 302 of the Past - Silent Hill Woods - South Ashfield Heights - South Ashfield Station - Spiral Staircase - St. Jerome's Hospital - Toluca Lake - Water Prison - Wish House Orphanage
21 Sacraments - Death Machine - Haunting - Holy Candle - Manifestation - Map - Monster - Real World - Ritual of the Holy Assumption - Saint Medallion - Sword of Obedience - The Order - Walter's Otherworlds - Great Knife - Sexuality - Halo of the Sun - Red Square
Items - Keys - Puzzles - Soundtrack - Limited Edition Soundtrack - Secrets and Unlockables - Memos
Community content is available under CC-BY-SA unless otherwise noted.