I bought this back when I was a teenager. It put me off impulse comic buying for years.
Perhaps it would help if I had read the previous comics but from synopses online I seriously doubt it. The story continues the misadventures of Christabella, the obnoxiously one-note sweary child, and her older sister who has a purpose of some kind that I can't remember but involves the great and terrible power of Silent Hill. There's an actor who may/may not be a murderer, returning characters you will have no clue about if you missed the other stories and others, one of whom appears so suddenly that I thought I'd missed a chapter somehow.
I guess you're meant to be invested in the characters but they're all grossly unlikable. Not in a way that makes them feel flawed and human, unlikable in the way horror film teenagers are twenty minutes before the axe murderer shows up to make his rounds. Essentially that's the role they play- expendable blood bags to make Christabella look good.
The town and the monsters take a back seat to what the human characters are up to, which makes everything seem so busy- there's barely a panel without dialogue and with a large cast it's hardly the deserted town gamers would be used to.
The flashbacks talk, the characters talk, Christabella f***ing talks, the DOG talks, the monsters talk. Not like a one-off monster either, some of the anonymous fleshy things talk in show tunes.
Don't be fooled by the cover illustration, it's a completely different style inside. The art within the covers seems to be aiming for an abstract, almost dream like atmosphere, much like the games themselves, which would be pretty good if the artist did any backgrounds of the town at all rather than a mess of greys and browns. Instead most of the characters seem to be floating in a largely featureless void. The characters are very angular although it doesn't seem to have the worst art of the series, ironically for being so jagged there are some seriously text book doodles of pyramid head.
Followers of the comic series might argue that you need to follow the series from the beginning to make sense of the convoluted plot but honestly, why bother? This comic doesn't work as a Silent Hill property and it doesn't work as a horror comic, it's an ugly mess of an I.P.