Continuity mistake: When Rose retrieves her phone from her Jeep, between shots the strap that the phone is attached to suddenly appears around her neck with no motion of her doing so.
Rose, after reaching the basement in the hospital, finds out that the 'demon' is actually a manifestation of the dark side of Alessa's soul. Before the town was abandoned, the people seen earlier in the church were a cult-like group of religious fanatics that burned people they considered to be witches. They burned Alessa, but did not manage to kill her; before they could, the cult accidently set the coal below on fire, and the police arrived, sending Alessa to the town hospital. Dark Alessa explains to Rose that she can not punish the fanatics because their "blind devotion" in their beliefs protects them. In order to rescue her adopted daughter (who is the manifestation of the remaining goodness of Alessa's soul), she offers to take Dark Alessa into the church. Rose goes into the church, in time to save her daughter, but not in time to save Cybil, the police officer, from being burned. After the Church leader stabs Rose, Rose's wound heals, and Dark Alessa and Alessa enter the church, and kill all the fanatics. The two sides of Alessa's soul recombine, creating a full rebirth of Alessa in Sharon's body. Rose leaves Silent Hill with Alessa, using her car (which Alessa now allows to work). Rose is still in the foggy world at the end, and her husband can't see her.
Trivia: Ironically the evil cult in this film is almost the exact opposite of that from the games. In the games, the cult is a malevolent force, trying to give birth to their dark god, and the burning of Alyssa was part of an ongoing process to help summon it. In this film, they're essentially extremely fanatical Christians who are trying to cleanse what they view as "evil" and "ungodly" and the burning of Alyssa was done because she was seen as "impure" and in need of cleansing by fire.
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