Sound is a key factor in setting the suspense and atmosphere in the psychological horror genre. Psychological Horror games like Silent Hill don't really use non diegetic sounds. They use diegetic sound effects such as crying babies and static radio effects to increase the creepiness and suspense. They also don't use any music to make it seem like a real life experience. Here is an example of Silent Hills P.T. gameplay:
In comparison to games psychological horror films such as The Shining use a lot of non-diegetic suspenseful and creepy music to increase the fearful mood of the film and trigger emotion from the audience as if they are in the film. Music and sound is key in adding emotion to a scene such as fear, terror, anticipation and can completely change the meaning, genre or story of any footage.
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