I replayed SH2 maybe half a year ago. The Silent Hill series doesn't really have fixed camera angles, except for a few occasions - mostly it is a regular followcam. The default control scheme is Resident Evil style tank controls, but there's an option to make the movement relative to the camera, as it is with most games. This option combined with the followcam make the game quite playable, even today.
As for the combat, however, you mostly just swing a stick in the creatures' general direction and hope for the best. This is not completely without merit, though, as it makes you consider flight rather than fight tactics which helps make the game more scary.
One thing you might have a problem with are the puzzles. They are often, if not completely illogical, at least quite a bit more far fetched than would be expected of a game today. I never got stuck, because my memory could always nudge me in the direction of the proper solution, but I remember thinking I'd probably be stumped and frustrated if I'd gone in fresh.
Over all, though, it might not be the game it once was, but I think it held up rather well and if you are a fan of the genre it is absolutely worth a look.
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