Silent Hill Heaven

at the start of the game in the mens bathroom in the salvage yard/ convenience store if you look in the mirror you'll see a nightmare version of the bathroom a nod to sh:0

As was previously stated not everything in silent hill is "usual." If one applies this to what we see in game then maybe both the "misty" silent hill and "otherworld" silent hill are both projections of alessa's mind then it becomes a possibility that the monsters seen ...