When we first see him, Michael awakes in the Fog World version of his house. He begins to notice many ominous signs and messages which seem to be both warnings and encouragements to explore his Otherworld. It is revealed that Michael and his wife were in some sort of unexplained vehicular accident, resulting in his current condition. His psychotherapy sessions seem to be geared toward the revelation of the truth behind this accident. Michael is often plagued by visions of a demonic entity watching him in a predatory manner. He also frequently sees a number of burlap dolls with nails in their heads scattered around Silent Hill, often accompanied by the words NO ESCAPE written in blood. At one point a shadowy form speaks to him, claiming to be his conscience. The fog shade beckons him to follow, to which he reluctantly obliges.