The Phantom is a colossal demonic entity encountered in the Otherworld version of Toluca Lake outside the infamous ghost town of Silent Hill and the final boss of Silent Hill: The Arcade. It is a gigantic and twisted beast with a rotten head of a long-haired blonde woman with an arm coming from its mouth. Depending on the results of the fight with the Phantom, the ending of the game will be affected completely.
A good or a bad ending is achieved depending upon the way the player defeats the monster. During the battle, a swarm of tiny hands surround the Phantom. To earn the Good Ending, the player must shoot all of them. To earn the Bad Ending, the player must not shoot the hands.