The truck of Travis Grady, the main character of Silent Hill: Origins, can be found in the streets of Silent Hill in Downpour.

If the player puts money in the jukebox at the Devil's Pitstop diner, it will play the original Silent Hill theme song heard in the opening FMV of the original game. This is also the song that DJ Ricks plays when he and Murphy meet.

As you work your way through Silent Hill, you learn that having a harpoon can help you reach some emergency ladders that lead to either key locations or other locations. One location is that in Pearl Creek at Lansdale Avenue, Murphy can visit Henry Townshend's apartment from Silent Hill 4.