Here are my impressions pulled from my myspace blog.

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Sure, the acting was bad at parts...but everything else was awesome. They nailed the atmosphere and the mood perfectly. Even though they changed stuff around (the movie was based off of the first plot of the game), they were very faithful to the core plot. I loved the fact that they used music from the games for the majority of the time. If you are any fan of Silent Hill, go see it. Hell, I even talked to a couple of non-gamers who loved it. Best video game movie ever.