It is presumably written by an unknown patient at the hospital who is suffering from depression, though the real author of the diary is unknown, and it is theorized it may belong to Angela Orosco or Mary Shepherd-Sunderland, although it has been confirmed Mary did not stay at Brookhaven. Silent Hill 2: The Novel mentions Angela went to a "far away hospital" and was prescribed drugs, and the side effects were torturous on her (a line from the diary reads "The meds made me feel sick today"), supporting this Angela theory.
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