The Nightmare still continues... but it's different now. Alex will take the Combat Knife, and then an Air Raid Siren will make noise and the place will change into a weird looking place (just like from the other Silent Hill games) then a sexy but terrible Nurse in the bathroom will show up and wants to kill Alex. ~Other World Alchemilla Hospital~ The hospital will form into a weird place like hell, full of bloody things around the place. Alex can't go back to the original place until he find his brother. ~Nurse~ The 1st and one of the easiest enemy but don't underestimate her, once she get mad, she'll attacks you outrageously and won't stop until you die... the only way to stop her is to dodge and attack or turn off your flashlight and run, or maybe escape from her while sneaking with flashlight off. But on this first Nurse, she will not attack continuosly. Only the rest of them will do that so you don't have any trouble with her. Also they get harder as soon you go through the story in Hard Mode. Note: I use Heavy attacks a lot when battling this Nurses. Plus my favorite weapon is Knife, especially the Ceremonial Dagger.