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Seen in Silent Hill: Homecoming, the Smog is a deformed, humanoid creature that has been described as a natural variation of the Lying Creature from Silent Hill 2. It can be heard from a good distance away -- choking on its own smog. This monster is somewhat hard to kill, even with a shotgun; that is, unless the player waits for it to expose its weak point: the lungs. Its rib cage parts opens, revealing the inflating lungs, in an attempt to poison its victim by spewing forth its toxic gas. It appears to be scorched and the lumps on its skin depict charred flesh and burning ash.
Some believe this is a reference to Alex choking on his own guilt.

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