The game has never been officially released outside Japan, although fan translations exist. Many years later, it was re-released again on the PlayStation Network, as well as the Wii and Wii U Virtual Console. An updated version, titled Clock Tower: The First Fear, was ported to the PlayStation, WonderSwan, and Windows. Her design was inspired by Jennifer Connelly's character in Phenomena. Jennifer's movements were constructed from a woman in Human's planning division acting out the scenes. Many of the game's character graphics were digitized from photos of real people.

Director Hifumi Kono loved horror films like this and wanted the game to feel like one. Much of Clock Tower 's plot and artistic style are inspired by the works of Italian horror film director Dario Argento, most notably Phenomena (1985). Clock Tower II also supports Sony's Dual Shock controller.Survival horror, point-and-click adventure Arranged in chapters like the first, it also features 13 different endings depending on how you complete the game. The game controls much like the first and features the same point-and-click and inventory system. Whatever the game may offer, the object is to unravel the mystery presented and avoid being killed (in particular, by a white-faced, knife-wielding little doll-girl.weird). The male personality isn't afraid to kick down an enemy or use a gun, or enter rooms the female personality will not. The female personality is a bit more timid but is able to access certain doors the male personality can't.

This allows you to enter different areas and perform various actions when 'in' a particular state.

In various situations in the game, say at a very stressful moment, your character will switch to his/her alternate personality.

You control a character with a split personality. Everything is in high-res, which also brings out some vibrant colors for a game that's pretty dark. The first thing we noticed about Clock Tower II is the graphic upgrade. Now part two is on its way, and delivers all of the creepiness of the first and a little more. That Scissorman guy would come along with his shears clanging and his hunched-over bounce and scare the crap out of you. The original Clock Tower was pretty creepy.

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