《寂静岭：归途（Silent Hill: Homecoming）》的主角将士一名经验丰富的退役老兵“Alan Shepherd”，他的任务是寻找失踪的弟弟。主角在恐怖的世界中可握着短匕向黑暗中突然袭来的女护士攻击。主角的移动速度和频率比以往的作品快了不少，但在游戏中的各种敌人动作更快，这就使得本作的整体战斗节奏变得以往都快。
游戏中可以抓住护士的头并将匕首刺入她们的脖子。当然，还有大量的鲜血喷涌而出溅在四周，一些血点会溅上屏幕。本作在沿袭系列传统的艺术风格和滤镜的同时在新主机上创造出了令人惊异的游戏画面。手电筒的灯光看起来和真的一样，光下的影子栩栩如生。医院中的各种医疗器具都在光下拉出怪异的影子，在主角经过的时候如果碰到它们的话，物理引擎会让他们做出符合规律的移动。角色和环境的细节非常棒，系列的噪点风格仍然存在，这样的滤镜使得游戏画面看上去和经历了时间洗礼的褪色胶片放出的电影一样。
目前泄露出来的成就，从中可以看出含有大量秘密成就：
Lock 'n Load: Found the Rifle - 25
Sightseeing: Found 1 Photo - 10
Josh's Gallery: Find ALL photos - 50
Alchemilla's Finest: Defeated 1 Nurse - 10
Eddie's Legacy: Defeat 1 Feral - 10
Lurk No More: Defeat 1 Lurker - 10
To The Point:: Defeat 1 Needler - 10
Split Personality: Defeat 1 Schism - 10
Shades of James: Defeat 1 Siam - 20
Clear the air: Defeat 1 Smog 10
Creeper Reaper: Defeat 1 Swarm - 10
Out of Order: Defeat 1 Order Member - 10
Kaufmann's Handiwork: Found 1 Serum - 10
Health Junkie: Found all Serums - 50
The Old Gods...: Haven't left this place. Complete the game on Hard diffiulty - 10
Nursery Rhymes: Found all the Children's Drawings - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 20
Secret Achievement: Continue playing to unlock this secret achievement. - 20
Secret Achievement: Continue playing to unlock this secret achievement. - 20
Secret Achievement: Continue playing to unlock this secret achievement. - 20
Secret Achievement: Continue playing to unlock this secret achievement. - 25
Secret Achievement: Continue playing to unlock this secret achievement. - 20
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 50
Secret Achievement: Continue playing to unlock this secret achievement. - 25
