The game is based in the same universe as the first Silent Hill video game, revised into a visual novel-style adventure game, consisting mainly of still images and text, similar to the Play Novel: Silent Hill. The gameplay is point and click, allowing the player to navigate the world and interact with the environment. An item system, map system, and battle system are all implemented. The game consists of 3 chapters. In the end of each chapter the player is given a password which is needed to go on to the next chapter. Each chapter takes place in a different location which Harry visits in his search for his daughter Cheryl: Elementary School, Hospital and Strange World (in order of appearance). The Game shares the same 5 endings and the same conditions to get them as the original Playstation version. Harry and his enemies take actions according to the turn-based system.
The game was only available through the Konami DX paid-service on cellphones. It was only available in Asian countries and long thought to have become lost media when the DX service shut down. However, the Chinese version was ported to Java and preserved.