Malignus are rare enemies in Silent Hill: Twilight appearing in only two areas.


One of the most grotesque monsters in the game, the resemble obese or swollen humanoids with black sagging lumpy flesh and leech like mouths.The are hairless and when idle will droll clotted blood.


They are based of tumours as Myra's father died of cancer, the clotted blood they drool represents the pain of his slow death. They thus first appear in the Sir Wagner Public Hospital which is the site of Stewart Bandon demise (Myra's father).

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