Yes, it does. And at night. Not really for the scare though, so much as the fact that it's a really hard game to see with light in the room.
I'm a personal fan of Silent Hill 4. No one really liked it. It was the only one in the series that truly scared me. Enough so that I don't believe I even beat it. The other three never bothered me too much, more fun-scary than anything.
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