Namely, Andrew Wyeth's Christina's World. The house in the beginning cinematic is very similar, perhaps even a simple retouched detail of the picture. Christina Olsen, the subject of the picture, was nearly immobile due to an unknown form of muscular deterioration; Alessa Gillespie was crippled from her injuries in the fire and moved via wheelchair. Both Alessa's Silent Hill and the titular world are desolate and bleak.