- Small Key
- Small Key (Downpour)
- Small Key (Silent Hill 4: The Room)
- Smitty's
- Smog
- Snarler
- Sniffer Dog
- Snow Driven
- Snow Flower
- Snowblind
- Sociology v.5 – Evolution of the Penal System
- Something's Wrong
- Soul-Eye
- Soul-Eye Token
- Soul of Weeping Demon
- Source Placard
- South Ashfield Heights
- South Ashfield Station
- South Vale
- Spade
- Spear
- Spear of the Holy Mother
- Special Treatment Room Memo
- Specimen Collection Puzzle
- Spike Coronet of Death
- Spiral-writing Key
- Spiral Staircase
- Spliced Reel
- Split Head
- Split Worm
- Spotlight Puzzle
- St. Jerome's Hospital
- St. Maria's Monastery
- Staff Lounge Key
- Staff Notice
- Stage Office Key
- Stairwell Key
- Stalker
- Stalking For Dinner
- Stanley Coleman
- Status Report
- Steel-World
- Steel Guardian
- Steel Sword
- Steph Stamb
- Steve Garland
- Stewart Family
- Stilledalen
- Stillwater Municipal Pool
- Stinger
- Stolen Goods
- Stone Plates
- Stone of Maxwell
- Stone of Time
- Storage Room Key (Downpour)
- Store Front Poseables
- Story branches in Silent Hill: Ascension
- Straightjacket
- Stranded
- Strange Key
- Stuffed Cat
- Stun Gun
- Submachine Gun
- Subway Ghost
- Succubus Talisman
- Suffocated Forever
- Suguru Murakoshi
- Suki
- Summon the Horror
- Sun
- Sun Totem
- Sunrise
- Superintendent's Diary
- Superintendent's Key
- Superintendent's Memo
- Susan Papa
- Swamp Monument
- Swarm
- Sweet Factory Store
- Swing Rocket
- Sword of Obedience
- Synthetic Femur
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