Lying Figures are skulking humanoid monsters. Their entire bodies appear to be trapped in a straightjacket of flesh, complete with stereotypically feminine legs and visible buttocks. On their feet they wear a pair of what seem to be platform heels encased in flesh. When they scurry across the ground, they make a high-pitched wailing noise that sounds like the scraping of metal against cement. They seem to have zippers on their faces.
The Straightjacket is a shambling creature wrapped in flesh. It twitches violently and appears as if it is trying to break free of its flesh. While they initially appear nearly identical to the Lying Figures of Silent Hill 2, they lack the feminine features of those creatures and seem to be trapped in a straightjacket of skin, indicated by the notable folds and creases around their torsos, as opposed to the Lying Figure, which is simply trapped in stretched skin. These creatures behave quite differently than the Lying Figures, such as spewing balls of acid while grappling rather than spraying it, as well as their ability to run at a surprising speed.