Very heavy combat focus, with a lot of cinematics that make it look more like a ‘jumpscare horror’ game a la SH:Homecoming than the creeping dread that the traditional Silent Hill games are known for.
I think it’s worth noting that, at least in the original games, combat feels kind of like an afterthought. James Sunderland is not a man of action; Melee weapons are awkward and clunky in his hands, the guns work better, but you’re not really encouraged to kill enemies - most of the time you can just run past. None of the protagonists in these games are particularly heroic, and often they’ve done terrible things that the game only just hints at. It all underscores the idea that these are games about confronting the self, rather than the other, and a combat focus detracts from that idea.