Clock Tower II: The Struggle Within, known as Clock Tower: Ghost Head in Japan, is a PlayStation point-and-click survival horror game and the third installment in the Clock Tower series. It was developed and published by Human Entertainment on March 12, 1998 in Japan and later published by Agetec on October 31, 1999 in North America. It was released as a PlayStation Classic on the Japanese PlayStation Network for PlayStation 3 on May 9, 2012. The game is a spin-off story with little to no connection to the story of the Barrows/Burroughs family or Scissorman, nor was Hifumi Kono involved with it. It does not take place in Europe as many of the others do; it takes place in Osaka, Japan. Na versão norte-americana, o cenário foi alterado para Salinas, Califórnia, e os personagens receberam nomes ocidentalizados. No entanto, os japoneses não traduzidos podem ser vistos na entrada do hospital e até mesmo na introdução, há edifícios de estilo japonês, incluindo um santuário xintoísta. The game also contains various Japanese-styled rooms and samurai armor.