Story Walkthrough
How to read the tags. Every pickup in the walkthrough carries a coloured tag, and the number inside a tag is a permanent ID — click it and it takes you straight to that entry.
| Tag | What it means | Number |
|---|---|---|
| MISSABLE | Grab it before you cross the next threshold. The area closes behind you. | Warning flag — no ID |
| MEMO | One of the 68 memos. The game counts these for you. | 1–68 |
| PHOTO | One of the 26 Strange Photos. Also counted in-game. | 1–26 |
| GLIMPSE | One of the 26 Glimpses of the Past. Not counted in-game — keep your own tally. | 1–26 |
| KEY ITEM | Opens a door or feeds a puzzle. | Counted per chapter |
| EQUIPMENT | A weapon, the radio, or a permanent upgrade. | Counted per chapter |
| PERSONAL | A personal belonging of a character, picked up as part of the story. | Counted per chapter |
| MAP | The area map. Picking it up marks your objectives. | Counted per chapter |
| NG+ | Only spawns on a New Game+ save. | New Game+ flag — no ID |
| CUTSCENE | A scripted scene. Several of them set ending flags. | Story flag — no ID |
| BOSS | A fight. Strategy is in the Bosses tab. | 1–7 · opens Bosses |
| TROPHY | A trophy unlocks at this exact point. | 1–44 · opens Trophies |
Pick a chapter below, then use the Previous / Next buttons at the bottom of each chapter to move through the game.
1Chapter 1: Eastern South Vale
The opening chapter introduces James Sunderland as he descends from the observation deck into the foggy town of Silent Hill. This is a large explorable area packed with collectibles - 18 Memos, 2 Strange Photos, and 5 Glimpses of the Past. Take your time before entering Wood Side Apartments, as leaving this area is a point of no return.
1
TROPHY 17 "No Turning Back Now": At the very start, after the intro cutscene, turn around and follow the road to the left all the way to the end. Interact with the barricade to trigger the trophy.
No Turning Back Now trophy location
Approaching the foggy streets of South Vale
James arrives at the Silent Hill observation deck
TIP: Save into a fresh manual slot (you have ten) at every save point. If you miss a collectible, reload the nearest save, because there is no chapter select or free roam after the story. Nothing carries into New Game+, so the 68 Memos, 26 Strange Photos and 26 Glimpses of the Past each have to be completed inside one run.
2
KEY ITEM 1 Mary's Letter: Automatically in your inventory from the start. Do not inspect it if you are aiming for the Maria ending.
3
KEY ITEM 2 Photo of Mary: Automatically in your inventory from the start. Do not inspect it if you are aiming for the Maria ending.
TIP: Leave, In Water and Maria are scored across the whole run, so you cannot swap between them from a late save. For Leave, heal aggressively and keep your health high, examine Mary's photo and letter repeatedly, keep your kill count low and do not examine Angela's knife. For In Water, spend long stretches at low health, kill a great deal, stomp corpses and examine Angela's knife more than once. Take In Water on your first run: it is the prerequisite for the New Game+ Stillness ending.
4
KEY ITEM 3 Map of South Vale: Found in James' car at the starting area (the turquoise car).
5
KEY ITEM 4 Auto Parts key: Inside the 'Best Auto Parts' building, found in a drawer.
6
GLIMPSE #1 After the locked door, head straight ahead and interact with the barricaded tunnel.
TIP: The game counts Memos and Photos for you but not Glimpses of the Past. Keep your own tally of the 26.
7
KEY ITEM 5 Map of east/west South Vale: Automatically obtained during a cutscene at Wiltse Rd.
WARNING: The graveyard cutscene with Angela closes the forest trail, the well save point and the road behind it, so finish this stretch first.
NG+ ONLY: Three items sit around the graveyard stretch. Crimson Ceremony (Rebirth item 1 of 4) is on a lone grave by a tree on the shoreline in the graveyard where you meet Angela. The Chainsaw is stuck in a log pile past the Silent Hill Ranch sign beyond the graveyard; it is the strongest melee weapon and earns the Lumberjack trophy. With the Chainsaw, cut open the green car on Wiltse Road past the chain-link gate for the Key of Sorrow (Stillness ending), which only appears once you have already earned the In Water ending.
8
TROPHY 18 "Enjoy Your Stay": Automatically obtained during a cutscene as you enter town.
South Vale street corner
9
MEMO #1 Flower Shop Message: After the cutscene, turn left to the flower shop; the memo is on a table.
10
GLIMPSE #2 At Vachss Rd, interact with the 'Do not enter' sign on the barbed fence.
11
EQUIPMENT 1 Radio + Wooden Plank: Automatically obtained during the story.
TIP: Downed enemies can be stomped for a kill, which saves ammo and counts toward the Merciless trophy (50 stomp kills). For James of All Trades you need one kill each with the Wooden Plank, Steel Pipe, Handgun, Shotgun and Hunting Rifle inside the same run, so get a plank kill before the Steel Pipe replaces it.
12
GLIMPSE #3 After your first enemy encounter, exit the building, go through the garden gate, turn right, and examine the blood on the floor.
TIP: Turn the radio off right after this first enemy fight and leave it off for the whole game. Turning it on again spoils the Radio Silence trophy.
13
MEMO #2 Matchbook: On a corpse on Martin St.
WARNING: Crawling under the Martin Street garage door commits you, so finish this street first.
14
MEMO #3 Martin Street Note: A few steps north of the corpse.
15
KEY ITEM 6 Neely's Bar Coin: In the Texan Cafe, examine the cash register, turn the key, then press the bottom right button.
16
MEMO #4 Big Jay's Note: In Big Jay's Cafe, on a table.
17
MEMO #5 Record Store Note: In the Groovy Music shop, on the counter.
18
KEY ITEMS 1 Broken Vinyl Record (1) + Vinyl Glue: In the Groovy Music shop, smash the window, climb to the locked room; both items are on a table.
19
MEMO #6 Texan Cafe Flyer: On Katz St., next to Wood Side Apartments; the flyer is on the left.
20
GLIMPSE #4 Right of the Wood Side Apartments door, interact with the blue dumpster.
21
PHOTO #1 "So many people here!": Left of the Wood Side door, behind the fence, in the corner on the ground.
22
MEMO #7 Barrier Note: At the end of Katz St., on the ground near the barricade by a corpse.
NG+ ONLY: Broken Key Part 2 is in the doghouse behind the bone-marked gate on Katz Street. Combine it with Part 1 from the Pet Center to make the Dog Key.
23
GLIMPSE #5 At the end of Katz St., interact with the gap in the white barricade.
24
PHOTO #2 "I've been happy": South of Neely St, smash the shop window right of The Dance Company.
NG+ ONLY: The Pet Center on Neely Street holds Broken Key Part 1 in its back storage room. Smash the left display window of the jewellers next to it and take the jewellery box for the Blue Gem (UFO ending).
25
MEMO #8 Old Map: West on Saul St., on a corpse outside the gate to the Motor Home.
26
MEMO #9-11 Saul Street Notes (1-3): Follow the blood trail.
27
MEMO #12 Motor Home Note: Inside the Motor Home, on a table.
28
MEMO #13 Small Note: In the Saul Street Apartments, ground floor; move the shelf, then on a table.
29
KEY ITEM 7 Apartment Key: Turn around from the memo; it is hanging on the wall.
30
MEMO #14 Tenant's Note: Upstairs, crawl through the vent by Apt 7; on a table.
31
KEY ITEM 8 Jukebox button: Use the key on Apt 5, go through broken walls, out the window, up the stairs; in the bathroom, interact with the hole 3 times.
NG+ ONLY: Blue Gem step 1 of 4: examine the gem on the Saul Street Apartments rooftop by the eye graffiti. The gem glows and an alien tone plays when a spot is correct.
32
MEMO #15 Code Note: Halfway along Sanders St., next to the truck/corpse.
33
MEMO #16 Sanders Street Note: On the other side of the corpse.
34
MEMO #17 Neely's Bar Note: Inside Neely's Bar, on the counter.
35
KEY ITEM 9 Broken Vinyl Record (2): In Neely's Bar, interact with the jukebox under the cloth.
36
KEY ITEM 10 Glued Up Vinyl Record: Combine the vinyl glue + two broken records.
37
KEY ITEM 11 Neely's Bar Key: Insert the glued vinyl + jukebox button + coin in the jukebox, then press C and 2.
Neely's Bar area
38
MEMO #18 Back Room Letter: Use the key on the locked door in Neely's Bar, move the trolley, climb the hatch; on a table.
39
KEY ITEM 12 Wood Side Apartments Key: Through the backyard, through the door, examine the bloody clothes.
40
WARNING: Storm starts after picking up the key, some buildings close.
41
Grand Market code: 4442 (Light) / 4444 (Standard) / 4446 (Hard) - medicine and ammo inside.
POINT OF NO RETURN: Once you enter Wood Side Apartments, you cannot return to South Vale (East). Make sure all collectibles here are collected!
Neely's Bar Jukebox Puzzle
Insert the Glued Up Vinyl Record + Jukebox Button + Neely's Bar Coin into the jukebox, then press C and 2 to unlock the back room.
Grand Market Door Code
Light: 4442 | Standard: 4444. Contains medicine and ammo.
Chapter 1 of 6
2Chapter 2: Wood Side Apartments
The Wood Side Apartments are the first major interior dungeon. This area is dense with key items, puzzles, and a first Pyramid Head sighting. Collect the map, flashlight, handgun, and solve the coin puzzle before descending into the Otherworld via the red door.
1
MAP 1 On the wall at reception.
Wood Side Apartments lobby
Wood Side Apartments exterior
Wood Side Apartments - dark hallway
2
MEMO #19 Administration Note: Under the stairs in a locker.
3
EQUIPMENT 1 Flashlight: 2nd floor Apt 202, from the mannequin.
Apartment room interior
4
KEY ITEM 1 Chute Courtyard Key: In the drawer behind the mannequin.
5
KEY ITEM 2 2F Hallway Key: Use the Chute key, go to the courtyard, pull the trolley, climb the window, go through the dark corridor; the key is behind bars (triggers a cutscene). Backtrack to reception; a new corridor has opened.
6
KEY ITEM 3 Golden Apple Handle: Apt 108, wardrobe with golden handles.
7
PHOTO #3 "Valentine's Day": Apt 102, on the trolley by the TV.
8
GLIMPSE #6 Apt 213, scratched wall in the bedroom.
9
EQUIPMENT 2 Handgun: In the red shopping cart in Apt 217. Don't waste ammo - you need 11 rounds for the balloons.
Apartment 206 - the safe location
10
KEY ITEM 4 Apt 212 Key: On the stand next to the TV in Apt 213.
11
PHOTO #4 "Career's humble beginnings": Through Apt 212 to 210 via the balcony, on the last windowsill.
12
TROPHY 20 "Let's NOT Party!": Apt 207, shoot all 11 balloons. Ammo locations: 7 in 217, 2 in 210, 3 in 207, 1 in 208, 3 in 205, 3 in Reception.
13
KEY ITEMS 1 Coin [Man] + Steel Key: Safe in Apt 206, via the Golden Apple Wardrobe in 208.
Safe in Apartment 206
Apartment 206 safe
14
KEY ITEM 5 2F Small Staircase Key: On a chair in Apt 205.
15
MEMO #20 Strange Note: Through the gap in 213, use the key on the door, up the stairs to 3F; in the drawer before Apt 310.
16
MEMO #21 Sinister Note: On the wall in Apt 312, via Apt 310 and the balcony.
17
KEY ITEM 6 Canned Juice: Crawl through the vent to the laundry room.
18
KEY ITEM 7 Coin [Woman]: Use the Canned Juice on the garbage chute; the coin drops to the courtyard 1F.
19
KEY ITEM 8 Coin [Snake]: Apt 116, cutscene, climb the window to the courtyard with the empty pool; in the baby stroller.
Coin puzzle solved
Coin puzzle solution
Safe in Apartment 206
Light: 15 Right, 11 Left, 13 Right
Standard and Hard: 13 Right, 7 Left, 11 Right
Contains the Coin (Man) and Steel Key.
Standard and Hard: 13 Right, 7 Left, 11 Right
Contains the Coin (Man) and Steel Key.
Coin Puzzle (Wood Side Apartments)
Three coins, six faces: the Man coin flips to Sword, Woman flips to Grave, Snake flips to Flower. The cabinet has five slots in a row — the first, third and fifth are marked Moon, Tree and Sun; the two between them are unmarked. Each stage below is the whole board read left to right, with — for an empty slot.
Where the coins are
| Coin | Location |
|---|---|
| Coin (Man) | Inside the safe in Apartment 206. |
| Coin (Woman) | Use the Canned Juice on the 3F garbage chute — the coin drops to the courtyard on 1F. |
| Coin (Snake) | Apartment 116: after the cutscene, climb out of the window into the courtyard with the empty pool; it is in the baby stroller. |
The solution, all three difficulties
Swipe the table sideways
| Difficulty | Stage 1 | Stage 2 | Stage 3 |
|---|---|---|---|
| Light | Man · — · Woman · — · Flower | Sword · — · Woman · — · Snake | Snake · — · Grave · — · Man |
| Standard | Man · — · Woman · — · Flower | — · Sword · — · Woman · Flower | — · — · Man · Grave · Snake |
| Hard | Man · — · — · Grave · Snake | Grave · Sword · Flower · — · — | — · Man · Woman · — · Snake |
Then the top slot. After the third stage, drop any one coin into the slot above the row to finish. It does not matter for the puzzle — but the face you choose feeds the ending score, so pick the Woman coin if you are steering toward Maria and leave it alone otherwise.
Hard is a different board, not a harder version of the same one. Compare the rows: the coins land in different slots at every stage. Reading the Standard solution on a Hard run will not get you close.
WARNING: Interacting with the Handkerchief locks you out of further exploration in this area. Collect everything else first.
20
PERSONAL 1 Handkerchief: Apt 201, on the desk. Triggers a cutscene.
21
TROPHY 21 "Otherworldly": Through the red door to the Otherworld.
Clock Puzzle (Blue Creek Apartments)
Place the Hour Hand on 9 and the Minute Hand on 2 to set 9:10 (unlocks the M door). Then place the Second Hand on 3 to set 9:10:15 (unlocks the S door 1F).
Chapter 2 of 6
3Chapter 3: Blue Creek Apartments, South Vale (West) & Brookhaven Hospital
This chapter spans three major areas: the Blue Creek Apartments (the clock puzzle, and the first real Pyramid Head fight), South Vale (West) — the second town exploration section — and the sprawling Brookhaven Hospital, one of the largest and most collectible-dense areas in the game, which ends with the Flesh Lip.
Blue Creek Apartments
1
MAP 1 On the wall in the corridor.
Laura drawing on the wall
TIP: Blue Creek Apartments holds no Memos, so do not spend a sweep looking for them.
2
KEY ITEM 1 Apt 306 Key: Apt 307 with the hanging radio, through the balcony to Apt 305 back rooms.
3
KEY ITEM 2 Valve: On the wall in Apt 304, via 306.
4
KEY ITEM 3 The Hour Hand: Return to 307, use the Valve to drop the radio.
5
KEY ITEM 4 The Minute Hand: Apt 210 behind the H Door. Place the Hour Hand on the clock in 212, set to 9. Enter 210, break the kitchen wall, search the toilet 3 times.
Clock puzzle
Grandfather clock puzzle
The grandfather clock puzzle
6
KEY ITEM 5 Pigeon Figurine: Leave the bathroom, the apartment is corrupted; on a cabinet shelf.
7
KEY ITEM 6 Wooden Swan Head: Apt 211, shadow on the wall, in the corner.
8
KEY ITEM 7 Malformed Figurine Part: Apt 209, bathroom, break the glass on the bathtub.
9
KEY ITEM 8 Swan Figurine: Combine the Wooden Swan Head + Malformed Part.
10
KEY ITEM 9 Winged Key: Place the Swan and Pigeon on the seesaw in 210; Swan in the second notch.
11
GLIMPSE #7 Jump down the hole to Apt 110, broken TV stand.
WARNING: Dropping through the hole in Room 210 cuts off the east half of 2F. Collect everything up there before you jump.
12
PERSONAL 1 Angela's Knife: Automatically after the cutscene in 109. Do not inspect it if you want Leave; inspect it more than once for In Water.
13
KEY ITEM 10 Key of Resilience: On the table after the cutscene.
14
PHOTO #5 "Forever together": Stairwell 1F, next to the barrel.
15
KEY ITEM 11 The Second Hand: Place the minute hand on 2, time 9:10, unlock Apt 202 (M door). Moth code: 582 (Light) / 373 (Standard) / 522 (Hard). Search the hole 3 times.
Moth puzzle
16
PHOTO #6 "How the time flies": Clock room corrupted, bedroom, on the floor.
17
GLIMPSE #8 Place the second hand on 3, time 9:10:15, unlock the S door 1F. Stairwell, examine the corpse.
POINT OF NO RETURN: Opening the S door starts the Pyramid Head chase. Once you escape, you cannot return to Blue Creek Apartments.
18
BOSS 1 Pyramid Head: Opening the S door starts the first real Pyramid Head fight, in the cage-filled ground-floor room. He cannot be killed — it is a timer of about three minutes. Circle the room, put cages between you, dodge backwards from the horizontal sweep and sideways from the overhead slam. An alarm ends it. Escaping the building afterwards earns Passed.
Blue Creek Apartments transition
Clock Puzzle + Moth Puzzle (Blue Creek Apartments)
Door meanings: H=Hour, M=Minutes, S=Seconds.
1. Get Valve in Apt 304, use on radio in Apt 307 to get Hour Hand.
2. Set clock to 9:00 (Hour Hand at 9) to open H door.
3. Inside H door: break kitchen wall, examine hole in bathroom 3 times to get Minute Hand.
4. Set clock to 9:10 (Hour at 9, Minute at 2) to open M door.
5. Inside M door: solve Moth Puzzle. Light: 582 | Standard: 373.
6. Get Second Hand.
7. Set clock to 9:10:15 (Hour at 9, Minute at 2, Second at 3) to open S door on 1F.
1. Get Valve in Apt 304, use on radio in Apt 307 to get Hour Hand.
2. Set clock to 9:00 (Hour Hand at 9) to open H door.
3. Inside H door: break kitchen wall, examine hole in bathroom 3 times to get Minute Hand.
4. Set clock to 9:10 (Hour at 9, Minute at 2) to open M door.
5. Inside M door: solve Moth Puzzle. Light: 582 | Standard: 373.
6. Get Second Hand.
7. Set clock to 9:10:15 (Hour at 9, Minute at 2, Second at 3) to open S door on 1F.
South Vale (West)
1
TROPHY 23 "Uncanny": After the cutscene at the Rosewater Park docks.
WARNING: Meeting Maria at Rosewater Park seals the steel fence gates behind you. For the Maria ending, take every scripted Maria moment in Western South Vale, check on her four times in her hospital room and four more in the Labyrinth, and keep her from taking heavy damage. For Leave, keep your distance from her: checking on her pushes the run toward the Maria ending.
2
PHOTO #7 "So far from home": Rosewater Park, right side, first nook, stone bench.
NG+ ONLY: Blue Gem step 2 of 4: examine the gem at the Rosewater Park pier.
3
MEMO #22 Bloody Note: West along Nathan Ave., next to the corpse at the road end.
4
TROPHY 25 "Leftovers": Pete's Bowl-O-Rama, pizza on the bench back left. Also counts as Glimpse #9.
5
NG+ MEMO Cryptic Letter: Safe in Bowl-O-Rama, code 1887.
NG+ ONLY: The same safe also holds the Rusted Key for the Bliss ending, so take it before you move on to Jack’s Inn. On a New Game+ save a substitute memo appears in this safe (the Lost & Found memo is replaced in the hotel), so skip it and the Archivist trophy is unobtainable for that playthrough.
6
GLIMPSE #10 South of Bowl-O-Rama, stairs to the barred gate, examine.
7
KEY ITEM 12 Garage Jack Lever: Back lot of Octantis Fuels, green car.
8
PHOTO #8 "made it!": Use the lever on the Garage Jack, inside the garage, red cabinet.
9
MEMO #23 Reception Desk Note: Jack's Inn reception, bulletin board.
10
KEY ITEM 13 Gate Key: Safe in Jack's Inn, code 0451.
11
MEMO #24 Toolbox Memo: Upstairs Jack's Inn, Room 108 via the window, break the wall to 107, on a table.
NG+ ONLY: White Chrism (Rebirth item 2 of 4) is on a table outside the Baldwin Mansion, after Jack’s Inn.
12
WARNING: Heading west on Katz St. locks previous areas.
WARNING: The Katz Street plank cutscene closes the alleyway, and Heaven’s Night, Moonlight Grove and the Reverie Theater each lock what came before them. Collect everything behind you before each one. If you are steering toward the Maria ending, inspect all seven objects in Heaven’s Night.
13
EQUIPMENT 1 Steel Pipe: Automatically after a cutscene.
TIP: The Steel Pipe replaces the Wooden Plank. Make sure you already have your plank kill for James of All Trades.
14
MISSABLE Strange Photo #9 "Ready to kill it!": Heaven's Night, dressing room mirror. Missable before Moonlight Grove.
15
MISSABLE Strange Photo #10 "Church entrance": Moonlight Grove, southern path by the fountain. Missable before the theater.
16
MISSABLE Strange Photo #11 "Best Flavor!": Reverie Theater, right side seats behind Eddie. Missable before leaving.
17
TROPHY 26 "Admitted": Reach Brookhaven Hospital.
Brookhaven Hospital hallway
Brookhaven Hospital interior
WARNING: Entering Brookhaven Hospital closes the Western South Vale district for good. Finish everything out here first.
Brookhaven Hospital
1
MAP 2 On the newspaper holder at the entrance.
TIP: For the Maria ending, check on her four times in her hospital room.
2
MEMO #25 Key Locker Note: Noticeboard in Reception.
3
KEY ITEM 14 Basement Key: Reception Office, key cabinet code 287 (Light) / 724 (Standard) / 152 (Hard).
Hospital lock code
4
MEMO #26 Nurse's Memo: Exam Room 3, break the window, next room, desk.
5
MAP 3 Hospital Basement Map: Down the staircase SE, directly in front in the basement.
6
KEY ITEM 15 Empty Fuel Can: Pallets in the Boiler Room.
7
KEY ITEM 16 Filled Fuel Can: Use the Empty Can on the red hose in Storage (move the laundry trolley, climb the gap).
8
MEMO #27 Staff Memo: Use the Fuel Can in the Generator Room, press the button. Use the elevator to 2F. On the Nurses' Station window.
Hospital generator room
9
PHOTO #12 "Her drawings": Observation Room, desk. Crawl through the vent to Room L3.
10
GLIMPSE #11 2F Laundry Room, blue fabric in the bin.
11
MEMO #28-30 Evaluation Cards (Patient #0050, #0090, #0130): Director's Office, counter.
12
MEMO #31 Interview Transcript: Room C1, interact with the poster, search.
13
GLIMPSE #12 Bed in Room M1.
14
KEY ITEM 17 Bent Needle: Women's Locker Room, teddy bear on a chair.
15
EQUIPMENT 2 Shotgun: First open locker in the same room.
16
KEY ITEM 18 L1 Room Key: Nurses' Lounge, coffee table.
17
MEMO #32 Scribbled Note: Medical Records 1F, via wall space from Room L1 2F, on the ground.
18
GLIMPSE #13 Same room, typewriter.
19
KEY ITEM 19 Marked Bracelet: Same room, on a red book.
20
KEY ITEM 20 1F Inner Ward Key: 3F Exam Room 5, smash the window, on a desk.
21
MEMO #33 X-ray Memo: Bench in the X-Ray Room.
22
KEY ITEM 21 Radiograph of a Pelvis: Under the memo.
23
PHOTO #13 "At least she was there": 1F Exam Room 1 (now unlocked), drawer.
24
MEMO #34 Keypad Combination Note: Doctors' Lounge bulletin board (unlocks the Inner Ward door in the lobby).
25
KEY ITEM 22 Medical Tube: Dayroom > Pharmacy (climb window) > Garden > Greenhouse > Pool > Shower Room, on the faucet.
NG+ ONLY: Pick up the Small Chest in the gazebo of the hospital garden. Combine it with the Rusted Key from Pete’s Bowl-O-Rama for White Claudia (Bliss ending).
26
KEY ITEM 23 Medical Tube with Bent Needle: Combine the items.
27
KEY ITEM 24 Maintenance Key: Use the combined item on the drain in the Pharmacy.
28
KEY ITEM 25 Bloodstained Bracelet: Pool, use the key on the hatch to drain, smash the wall with the crying eye.
29
KEY ITEM 26 Mold Remover: Kitchen, west side 1F.
30
MEMO #35 Treatment Room Note: 2F, unlock the Nurses' Station code 3578, through to the Treatment Room, bench.
31
KEY ITEM 27 Moldy Radiograph: Bathtub in the same room.
32
KEY ITEM 28 Cleaned Up Radiograph: Combine the Moldy Radiograph + Mold Remover.
33
KEY ITEM 29 Filthy Bracelet: X-Ray Room 3F, use the Radiographs on the viewer, rotate to match. Code 4R, 37L, 12R. Room D1, interact with the bed.
X-ray puzzle
34
KEY ITEM 30 Director's Storage Room Key: Director's Office, place 3 bracelets on the mannequin hand: Bloodstained (Top), Marked (Mid), Filthy (Bottom). Rotate to 92-45-71.
Bracelet puzzle
35
KEY ITEM 31 Safe Button: Use the key on the room next to the save point.
36
KEY ITEM 32 Rooftop Key: Organize the books on the shelf, match the lion. Safe code: Triangle in Circle, h, Circle with Arrow, Circle with Dot, Stickman with Horns, Circle with Lines.
37
MEMO #36 Safe Note: In the safe.
38
GLIMPSE #14 Rooftop, catwalk opposite the door. HIGHLY MISSABLE.
WARNING: The rooftop cutscene locks the roof for good. Collect everything up here before you trigger it.
39
MEMO #37 Page From A Diary: On the floor re-entering from the Rooftop. HIGHLY MISSABLE.
40
GLIMPSE #15 After the cutscene, Room I3, blood-stained wall behind the door.
Laura running to the hospital
Reception Office Cabinet
Light: 287 | Standard: 724. Contains the Basement Key.
X-Ray Puzzle + D1 Door
Collect 3 X-Rays from the room + 1 from bathtub in Nurse's Station (clean with Mold Remover from Kitchen). Place 4 X-Rays on viewer, rotate to align. Code: 4 Right, 37 Left, 12 Right (all three difficulties).
3 Bracelets (Director's Office)
Place bracelets on mannequin hand: Bloodstained = Top, Marked = Mid, Filthy = Bottom. Rotate to code 92-45-71.
Director's Safe (symbol sequence)
Triangle in Circle, h, Circle with Arrow, Circle with Dot, Stickman with Horns, Circle with Lines.
POINT OF NO RETURN: Going towards Laura triggers the boss fight. Complete all collectibles first.
41
BOSS 2 Flesh Lip: Head to Laura, watch the cutscene, then fight the Flesh Lip on 3F for Nightmare Fuel. It hangs in a metal cage above the ceiling in phase one — shoot the hand on the beam to drop it, break the cage with melee, then back off in phase two and use the shotgun on its front. A second Flesh Lip grabs James in the cutscene afterwards and drags him into the Otherworld hospital.
Chapter 3 of 6
4Chapter 4: Otherworld Hospital, South Vale Otherworld & West Revisited
After the Flesh Lip fight a second one drags James under, and the hospital reopens in its Otherworld form — rusted walls, blood and decay. James has to escape, then cross the transformed streets of South Vale before revisiting the west side and reaching the Historical Society.
Otherworld Hospital
1
The hospital transforms - rusted walls, decay, blood-stained floors.
Otherworld Hospital - rusted decay
2
MEMO #38 Evaluation Card, Patient #3141 — Dayroom, on the wheelchair, straight through the first door.
3
KEY ITEM 1 Find the Lapis Eye Key. Take the Instrument of Force from the medical table in Exam Room 4 on the 3rd floor and use it on the mannequin’s arm. Go down the ladder to the 1st floor and take the Key of Bliss from the wall hole in the Storage / Medical Records area. Climb back up and use the Key of Bliss on the mannequin’s eye to receive the Lapis Eye Key.
The Lapis Eye Key
4
MISSABLE MEMO #39 The Procedure — take the western path out of the Nurses’ Station up to the 3rd floor X-Ray Room; it is on a table. Get it before you use the Lapis Eye Key — the key locks the west side behind you.
5
Nurses' Station Keypad - code from the bracelet (varies by difficulty).
Lapis Eye Key location
6
3rd Floor Hospital Door - code from the bracelet.
7
MEMO #40 Calendar Page — Room M3, on the floor once you smash the wall. It carries the hint for the first code.
8
GLIMPSE #16 Room M5 — examine the handprints and drawings on the far east wall.
9
PHOTO #14 “No one knows” — Room C5, in the bedside cabinet drawer, through the hole directly ahead.
10
MEMO #41 Patient’s Note — Observation Room, on the bed. Break through the Laundry Room wall and push the trolley aside to reach it.
11
MEMO #42 Manic Scribble — Director’s Office, on the bench inside.
12
MISSABLE MEMO #43 Nurse’s Note — Room I7, small table, up the ladder in the Director’s Office. The keypad code seals the south-west side and the combination lock seals the east side, so sweep both before you enter either.
13
MISSABLE MEMO #44 Director’s Note — the locked restroom, on the floor. Power the generator first, then crawl through the hole. After the Chained Box puzzle only the main elevator is still reachable.
TIP: Chained Box codes: left lock 1622 and right keypad 9659 on every difficulty.
14
MISSABLE PHOTO #15 “They mustn’t know” — Pool area on the 1st floor, on the bench at the back beside the lifebuoy. The Copper Ring cutscene seals the west basement.
15
MISSABLE MEMO #45 Dissociated Notice — Locker Room, on a bench. Same warning as the photo above: take it before the Copper Ring.
TIP: The Pharmacy jewelled box is answered from the radio quiz in the basement elevator: Q1 = 2, Q2 = 3, Q3 = 1. The box locks for good after one wrong try.
16
MISSABLE MEMO #46 Ominous Note — on a stair landing past the door that needs both the Copper and the Lead Ring. The Lady of the Door passage locks behind you.
17
Chase sequence — run, do not fight, and keep moving forward. Surviving it is what awards Alone Again (it is not a kill milestone, despite the name).
18
Exit to South Vale Otherworld.
1
Navigate the transformed streets - everything is rusted and decayed.
First tunnel in the Otherworld
2
MISSABLE MEMO #47 Note on a Map — the caravan with the save point, on your right as you come out of the tunnel to the east side; the memo is on the table inside.
3
Reach the Lakeside Diner.
4
MISSABLE GLIMPSE #17 Neely’s Bar — stand at the counter and examine the old map. Progressing here locks out Sanders Street, Saul Street and the alleyway.
TIP: For the In Water ending, inspect the new message at Neely’s Bar after the hospital.
5
MISSABLE MEMO #48 Letter — answer the ringing payphone next to Martin Street. The Wrench is at the same phone. Martin Street cuts off the forest trail.
6
MISSABLE PHOTO #16 “They’re here” — end of Katz Street outside the Lucky Jade Restaurant, in the driver’s seat of a car. Break the window to reach it. Once James blocks the Katz Street fence gate you cannot come back.
7
CUTSCENE Laura running away.
Laura running away
1
CUTSCENE Meet Angela in Rosewater Park.
Meeting Angela in Rosewater Park
2
KEY ITEM 2 Historical Society Key.
Historical Society Key
4
Head to the Historical Society.
Chapter 4 of 6
5Chapter 5: Historical Society, Toluca Prison & Labyrinth
This chapter covers the descent through the Historical Society, the oppressive Toluca Prison with its scale puzzles, and the surreal Labyrinth below it. The Historical Society and the prison have no boss — both the Abstract Daddy and Eddie are fought down in the Labyrinth.
Historical Society
1
MISSABLE Strange Photo #17 "The new clock": 2nd room on the left, behind the glass of the cabinet. HIGHLY MISSABLE before the stairs.
Historical Society entrance
TIP: The Historical Society holds no Memos. Obsidian Goblet (NG+ only, Rebirth item 3 of 4) is in a wall niche in the exhibition hall, the Pyramid Head painting room.
2
TROPHY 29 "Into the Abyss": After the long stairs.
3
KEY ITEM 1 Spiral-writing Key: Jump in the well, break the wall, through the tunnel, doors on the right twice; on the ground by the red light.
4
Bug Room Code - 3-digit code from the non-blood-spattered numbers (2, 3, 9). All combos: 239, 293, 329, 392, 923, 932.
Bug room code
TIP: The bug room code is randomised on every playthrough and on every difficulty, so try the six orders.
1
GLIMPSE #18 Canteen, right side, dining table.
2
MAP 1 Armory wall.
3
MEMO #49 Gun Cabinet Notice: Armory, next to the gun cabinet.
4
KEY ITEM 2 The Heaviest Weight: Altar in the Chapel.
5
GLIMPSE #19 Cell A3, shrine on the wall.
6
Scale Puzzle 1 - heaviest on right, lightest on left = Serpent Door.
Scales puzzle
7
MEMO #50 Family Photo: Through the Serpent Door, Death Row, Cell E4 bed.
8
KEY ITEM 3 Medium Weight: Witness Room, generator panel, all switches on, flip the lever, power failure, cells unlock, Death Chamber chair.
9
PHOTO #18 "Four months to go": Cell E1, break the wall, Cell E13, shelf.
10
KEY ITEM 4 Armory Key: Witness Checkpoint, via broken wall Cell E10, key cabinet.
11
EQUIPMENT 1 Hunting Rifle: Armory, use the key.
TIP: Save Hunting Rifle ammo for the twin Pyramid Heads and the final boss.
12
Scale Puzzle 2 - heaviest + lightest on left, medium on right = Ox Door.
13
MEMO #51 Guard's Letter: Through the Ox Door Block A 2F, posted next to the locked door.
14
KEY ITEM 5 Block D Key: Guardroom end of Block C, desk drawer.
15
MEMO #52 Threatening Note: Cell D5 Block D, blood-covered wall.
16
KEY ITEM 6 Shiv Key: Orange container in the same cell.
17
MEMO #53 Paranoid Note: Unlock Cell C4 with the Shiv, crawl through the hole, on the pipes.
18
MEMO #54 Crumpled Note: Bench in the Changing Room.
19
GLIMPSE #20 Showers, right, along the wall, broken section, tablet on cloth.
20
KEY ITEM 7 Heavy Weight: Back of the Showers, search the hole in the wall 3 times.
21
Scale Puzzle 3 - lightest on left, all others on right = Boar Door.
22
PHOTO #19 "Old man's always prepared": Through the Boar Door Block B, Warehouse from the rear door, desk.
23
MEMO #55 Prisoner's Letter: Taped to the glass cubicle 7, Visitation Room.
24
GLIMPSE #21 SW of the Break Room, object on the ground.
25
KEY ITEM 8 Upper Floor Key: Room behind the Infirmary, desk.
26
MEMO #56 Unfinished Report: Another desk in the same room.
27
KEY ITEM 9 Light Weight: Warden's Office 3F, interact with the typewriter, press any button 4 times, the drawer opens.
28
Scale Puzzle 4 - medium on right, all others on left = Dove Door.
29
MEMO #57 Confession: Downstairs through the Dove Door, Basement, unlock Cell F6, on the wall.
30
KEY ITEM 10 The Lightest Weight: Floor in the same cell.
POINT OF NO RETURN: The Hangman puzzle is the final step of the prison.
31
KEY ITEM 11 Execution Lever: Place 3 weights on each side of the scales to balance them.
Electric chair in prison
32
Hangman Puzzle: Connect the poem lines that rhyme. Pull the noose from the crime committed without malicious intent.
TIP: The poems change every playthrough, so read them each time. The noose you pull also feeds the ending score.
Scale Puzzles (Prison)
There are 5 weights: Heaviest, Heavy, Medium, Light, Lightest.
Puzzle 1 (Serpent Door): Heaviest on right, Lightest on left.
Puzzle 2 (Ox Door): Heaviest + Lightest on left, Medium on right.
Puzzle 3 (Boar Door): Lightest on left, all others on right.
Puzzle 4 (Dove Door): Medium on right, all others on left.
Final: 3 weights each side to balance.
Puzzle 1 (Serpent Door): Heaviest on right, Lightest on left.
Puzzle 2 (Ox Door): Heaviest + Lightest on left, Medium on right.
Puzzle 3 (Boar Door): Lightest on left, all others on right.
Puzzle 4 (Dove Door): Medium on right, all others on left.
Final: 3 weights each side to balance.
Hangman Puzzle
Read the poem on the wall and connect the lines that rhyme. Pull the noose corresponding to the crime committed without malicious intent - the crime of passion/mercy rather than premeditated murder.
1
Rotating Cube Puzzle (Stage 1): Spin sideways and up/down until the door lines up with the floor. Spin to the door with two Triangle icons.
TIP: The Labyrinth holds no Memos. For the Maria ending, check on her four times here.
2
MISSABLE PHOTO #20 “Whole world ahead of us” — in the octagonal room full of bugs, climb the ladder on the left and go through to the next room.
3
Rotating Cube Puzzle (Stage 2): Spin to the face with 2 infinity icons. Go up the right stairs.
4
MISSABLE GLIMPSE #22 From the Suspended Cage room take the western path; a breakable wall is immediately on your right. Smash it, go in, and examine the broken noose.
5
Rotating Cube Puzzle (Stage 3): Rotate up twice (scratched symbols below door). Go downstairs for Strange Photo. Rotate left twice to face with two downward triangles. Exit through the back.
6
MISSABLE PHOTO #21 “Your Best Buddy!” — this is the Strange Photo the step above points at. Rotate the cube up twice so the scratched-out symbol shows, go in and down the stairs; it is on the floor.
7
CUTSCENE Meet Angela in the burning staircase.
Rotating Cube Puzzle (Labyrinth)
Stage 1: Spin sideways and up/down until door lines up with floor. Spin to door with two Triangle icons.
Stage 2: Spin to face with 2 infinity icons. Go up right stairs.
Stage 3: Rotate up twice (scratched symbols below door). Go downstairs for Strange Photo. Rotate left twice to face with two downward triangles. Exit through back.
Stage 2: Spin to face with 2 infinity icons. Go up right stairs.
Stage 3: Rotate up twice (scratched symbols below door). Go downstairs for Strange Photo. Rotate left twice to face with two downward triangles. Exit through back.
Labyrinth bosses
Abstract Daddy
Follow Angela's voice and the fight starts as a pursuit, not an arena. Early on, lead it into a room with a central pillar, circle to keep it in sight, dodge the lunge and punish afterwards. A middle stage asks you to smash static-filled televisions with melee while avoiding it — do not burn ammo there, break line of sight instead. In the dark final room, dodge sideways out of the grab and the charge, then shoot its back, which takes extra damage. Headphones make tracking it far easier. Trophy: Unforgivable.
Eddie Dombrowski
A cover shootout in the refrigerated meat locker of the Ruined Area, in three phases. He alternates between rushing you and backing off to fire; the gun-raise is heavily telegraphed and the muzzle flash gives away his position. Use the hanging carcasses as one-use cover — he shoots them apart. Keep your weapon loaded so you can stagger him first, and never trade melee. Phase two he fogs the room, so track him by footsteps and taunts; phase three the meat moves on rails and your cover shifts under you. Trophy: A Human Being.
Inner Sanctum — the bronze trophy for finding "His room" is picked up down here too. Sweep the side rooms rather than heading straight for the exit.
Chapter 5 of 6
6Chapter 6: Toluca Lake, Lakeview Hotel & Hotel Otherworld
The final chapter. After a boat ride across Toluca Lake, James arrives at the Lakeview Hotel - the last place he and Mary visited together. This area is enormous, with the mirror puzzle, gemstone puzzle, music box puzzle, and the climactic dual Pyramid Head fight. The chapter ends with the final boss and your chosen ending.
Toluca Lake & Lakeview Hotel
1
MISSABLE PHOTO #22 “Road trip!” — before you board the boat. At the Toluca Lake dock, walk around to the right side of the building; the photo is on the ground behind some steps. Crossing the lake locks the dock for good.
Lakeview Hotel exterior
TIP: Stay out on Toluca Lake for the full ten minutes of the boat crossing to earn Scourge of Toluca Lake. The crossing happens once and it is your only shot.
2
MAP 1 Garden Map: After the boat, on the wall to the right.
NG+ ONLY: Blue Gem step 3 of 4: examine the gem at the hotel dock right after the boat crossing.
3
TROPHY 33 "Glimmer of Hope": Enter the garden.
4
KEY ITEM 1 Rotten Apple: Bench by the tree, right path.
5
GLIMPSE #23 North from the Apple, fountain, back, broken object.
6
MAP 2 Hotel Map: Right when entering the hotel.
7
MEMO #58 Cleaning Staff Memo #1: Downstairs, Utility Room, table.
8
MEMO #59 Laura's Letter: Automatically after the cutscene in the Lake Shore Restaurant.
9
MEMO #60 Receptionist Memo: 1F Check-in counter.
10
KEY ITEMS 1 Room 312 Key + Ornamental Key: Same room, key cabinet.
11
KEY ITEM 2 Key to Room 102: Behind the bar in Cafe Toluca.
12
MEMO #61 Lost & Found Note (NG ONLY): Lost & Found shelf, break the wall in Cafe Toluca.
NG+ ONLY: Lost Memories (Rebirth item 4 of 4) is in the Lakeview Hotel Lost & Found and replaces this memo on a New Game+ save. The total stays 68, but skip the Bowl-O-Rama safe and the Archivist trophy is unobtainable.
13
PHOTO #23 "aftermath...": Room 104, bedside table.
14
KEY ITEM 3 Sunrise Wing Key: Utility Room desk.
15
KEY ITEMS 2 4 Books: Reading Room 2F: "Pride Before the Fall", "Revelations", "Stalwart to the End", "The One Who Soared".
Book puzzle
Book puzzle
Hospital bookcase puzzle
16
MEMO #62-64 Door/Stain/Gate Photos: Place books on shelf: Revelations, One Who Soared, Stalwart, Pride (top-left to bottom-right).
17
KEY ITEM 4 Key to Room 202: Hall couch, via the Cloakroom.
18
KEY ITEM 5 Ripe Apple: Small table, back corner of the Hall.
19
KEY ITEM 6 Mirror Shard: Bed in Room 202.
20
Mirror Puzzle: Snow White Figurine - fix the mirror with shards, place the apple (Ripe = Maria ending, Rotten = In Water ending).
21
GLIMPSE #24 Room 212, suitcase on the floor.
22
MEMO #65 Cleaning Staff Note #2 + Key to Room 107: Fireplace, Conference Room 3F.
TIP: A straitjacketed Mandarin bursts through the Conference Room wall (Boss 5, the easiest fight in the game). Shoot the hand it hangs from to drop it, then put the shotgun into its head without rationing ammo. Dodge sideways out of the forward arm-slam and the tongue lash, back away from the 360 degree tongue spin, and hit it during its roar.
23
KEY ITEM 7 Boltcutters: Shelf, 3F Utility Room.
24
KEY ITEM 8 Can Opener: 2F balcony Room 217, book on the skylight, falls to the restaurant.
25
KEY ITEM 9 Light Bulb: Garden, use the boltcutters on the gate, fish statue.
26
MEMO #66 Cleaning Staff Note #3: Room 107, immediately in front.
27
KEY ITEM 10 Fireplace Key: Gazebo in the garden via Room 107.
28
KEY ITEM 11 Cinderella Figurine: Conference Room 3F, use the key on the fireplace.
29
KEY ITEM 12 Paint Can: Room 318 coffee table, via wall break Room 316 from the Conference Room.
30
KEY ITEM 13 Open Paint Can: Combine the paint can + can opener.
31
KEY ITEM 14 Red Light Bulb: Combine the light bulb + open paint can.
32
KEY ITEM 15 Employee Elevator Key: Reading Room 2F hidden room, red bulb on the mirror = DARK WISH (Light) / DEED DONE (Standard) / LOVE LUST (Hard).
33
MAP 3 Employee Section Map: Enter the elevator (put all items in the cabinet), break room wall.
34
GLIMPSE #25 Pantry shelf.
35
KEY ITEM 16 Blue Gemstone: Open the freezer, Freezer Room.
36
TROPHY 36 "It's Bread": Examine the bread trays in the Kitchen (crawl through the vent from the Freezer).
37
KEY ITEM 17 Green Gemstone: Kitchen counter.
38
KEY ITEM 18 Red Gemstone: Fancy box, Manager's Room (push the cabinet in the TV Room).
39
MEMO #67 Keypad Numbers Memo: Gemstones on the puzzle box: Green = Top Left, Red = Top Right, Blue = Bottom Left.
40
KEY ITEMS 3 Video Tape + Basement Key: Safe in the Break Room, code 7414.
41
KEY ITEM 19 Pump Valve: Use the Basement Key on the staircase, Maintenance Room through the crack, desk.
42
KEY ITEM 20 Venus Tears Bar Key: Boiler Room, taped to the red pipe (use the valve).
43
WARNING: Pump Valve in Venus Tears Kitchen = Point of No Return.
WARNING: Reaching Venus Tears also blocks the Employee Section, so finish the Employee Section first.
44
PHOTO #24 "Better leave...": Through the Venus Tears Kitchen, right, drink shelf behind the bar.
45
KEY ITEM 21 The Little Mermaid Figurine: In front of the jukebox in the bar.
46
KEY ITEM 22 3F Corridor Key: Music box: Little Mermaid (Top), Cinderella (Right), Snow White (Left). Keys: 7-2-1 (Light) / 7-5-1 (Standard).
Music box puzzle
Music box puzzle
47
TROPHY 35 "Truly Special": Enter Room 312.
NG+ ONLY: Room 312 is where several endings are triggered. Blue Gem step 4 of 4: examine the gem here before the video tape. Bliss: drink White Claudia in Room 312 before playing the video tape, and this ending skips the final boss. Dog: use the Dog Key on the Observation Room door beside Room 312 on the 3F and go in there instead of Room 312.
48
WARNING: Putting the video tape in the VCR = Point of No Return.
Hotel room detail
Hotel corridor
Lakeview Hotel lobby
WARNING: Have every New Game+ ending item in hand and used before this point.
Hotel Book Puzzle
Place the 4 books on the shelf in this order (top-left to bottom-right): Revelations, The One Who Soared, Stalwart to the End, Pride Before the Fall.
Mirror Puzzle (Snow White)
Fix the mirror using the Mirror Shards. Then place an apple on the Snow White figurine: Ripe Apple = Maria ending, Rotten Apple = In Water ending.
Red Light Bulb / Mirror Code
Place the Red Light Bulb on the mirror in the Reading Room 2F hidden room. Code: DARK WISH (Light) / DEED DONE (Standard) / LOVE LUST (Hard).
Gemstone Puzzle
Place gemstones on the puzzle box: Green = Top Left, Red = Top Right, Blue = Bottom Left.
Hotel Safe (Break Room)
Code: 7414. Contains the Video Tape and Basement Key.
Music Box Puzzle
Place figurines: Little Mermaid (Top), Cinderella (Right), Snow White (Left). Then enter the keys: 7-2-1 (Light) / 7-5-1 (Standard).
1
PHOTO #25 "Still can't get it right": Bathroom Room 302, move the trolley.
2
GLIMPSE #26 Push the trolley in the hallway Room 304, the floor breaks, jump to 2F, couch in the Reading Room.
3
MEMO #68 Burned Note: Elevator 2F to basement, flooded basement, up to the Employee Section, Manager's Office desk.
4
BOSS 6 Two Pyramid Heads: Fought past the room of red save tiles in the Otherworld hotel. They share one health bar, so hit whichever is more exposed — Hunting Rifle to the body, never the helmet. When one throws its spear it is defenceless while retrieving it; that is your window. They finish by running themselves through. Trophy: Obsolete.
TIP: Hard-save in a fresh slot at the room of red save tiles before the twin Pyramid Heads, with every ending item already in hand, then reload it once per ending instead of replaying the game. Leave, In Water and Maria are the exception: they are scored across the whole run and cannot be swapped from here.
5
KEY ITEMS 4 Scarlet Egg + Rust-Colored Egg: From the Pyramid Heads. Scarlet = Maria ending, Rust = In Water ending.
6
PHOTO #26 "SHAPE FORCES THE MIND": Long hallway, catwalk, right before the stairs into the water.
7
FINAL BOSS 7 Maria / Mary: The final boss. Handgun in phase one — the faster fire rate tracks her better while she is mobile; Hunting Rifle in phase two once she slows down and presents a bigger target. Dodge the tendril lashes and the leap, and expect a shriek that interrupts whatever you are doing. Trophy: That Part of Me.
Final boss encounter
Ending sequence
The final confrontation
Final area approach
Otherworld hotel corridor
Hotel Otherworld descent
1
NG+ Manager's safe - Key of Sorrow + code 314 = Toluca Postcard (Stillness ending).
2
NG+ Room 312 - Blue Gem (UFO), White Claudia (Bliss), Dog Key (Dog).
Save backup strategy: the room of red save tiles just before the twin Pyramid Heads is the last useful save point. With all your ending items in hand, burn a manual slot there — you have ten — then reload it once per ending instead of replaying the game. The three base endings are the exception: they are scored across the whole run, so you cannot swap between them from here.
Chapter 6 of 6
