Chained Box Puzzle (Otherworld Hospital)

On this page, you will find the complete solution to the Otherworld Brookhaven Hospital chained box puzzle in Silent Hill 2 Remake (2024). The correct solution will be the same for all riddle difficulty levels.

After arriving on the transformed hospital's second floor, you will find a locked, chained box in the main lobby. You must find one key and learn two codes to unlock the box.

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Contents

• Lapis Eye Key
• The First Code
• The Second Code
• Final Solution

Lapis Eye Key

From the lobby, take the northwest stairs to the third floor. In Exam Room 4, find a dummy sitting in a surgical chair. Take the Instrument of Force on a medical table next to the dummy and use it on its right arm to break it.

Break the wall into Room D2 and use the ladder in D1 to go down to the Kitchen. Proceed through the Cafeteria, Storage and Medical Records. Find the Key of Bliss in a hole in the wall in a small room northwest of Medical Records (to the south of the stairs).

Return to the third floor via the ladder. Return to the dummy and use the Key of Bliss on its eyehole to obtain the Lapis Eye Key inside.

Get back to the chained box on the second floor.

Note: You can skip learning the codes and only collect the key to unlock the box as the combinations will stay the same. Proceed to the final solution if you choose so.

The First Code

Proceed through the Restroom in the southern part of the second floor to learn the first code for the chained box. Go west to reach Room L1. Go to Room M3 and break the wall to get into Room M2. You will find the Calendar Page memo in the room under the hospital bed.

This memo contains the hints for the first combination:

1 year they've been watching me
So many pills they fed me
When a loud hour comes
I tremble every time the light falls

Let's look around to make sense of these clues:

• The first line is simple – one year.
• You will find some pills in the sink in the same room – six if you count them.
• There's a clock in Room M1. Interact with it to adjust the clock hand, which will stop at two hours. Beware that touching the clock will trigger the alarm and attract monsters to your location.
• If you look through the hole in the room, you will see the ceiling light flashes twice in a sequence.

The resulting code then will be 1622.

The Second Code

For the second code, break the wall into the Laundry Room and move the trolley so you can climb into Room L3. Find the Director's Office Key on the floor before a television in the Observation Room through the next door.

Using the key, proceed to the Director's Office. Use the ladder to get to the third floor. Go past the treatment stretcher, following the red cable to locate the generator and power it up. Return to the treatment stretcher in Room I7 and use the machine next to it to reveal the code 9659.

Final Solution

Return to the chained box on the second floor to open it:

• Use the Lapis Eye Key on the keyhole.
• Input the code from the Calendar Page memo in 2F Room M2 on the left combination lock – 1622.
• Input the code from the treatment stretcher in 3F Room I7 into the right keypad – 9659.

After you open the box, you'll receive the -1 Elevator Button, which you can use to access the basement in the nearby elevator.