Otherworld Hospital

Welcome to the sixth chapter of the complete walkthrough guide for Silent Hill 2 (2024 Remake) covering Otherworld Brookhaven Hospital.

Contents

Complete Maps

Key Summary

First Floor
    • Memo #38: Evaluation Card, Patient #3141. Dayroom, on a wheelchair ahead of you after going through the first door.
  • There's a Save Point at the end of the corridor outside the room.
  • Use the elevator to get to the second floor.
Second Floor
  • Approach a covered box with the chains for a future puzzle location. There's also another Save Point in the same area.
  • Proceed through the Nurses' Station, Treatment Room and Nurses' Lounge.
  • Use the stairs to go to the third floor.
Third Floor
    • Memo #39: The Procedure. On a table in the X-Ray Room.
  • Find a mannequin sitting in a surgical chair in Exam Room 4.
  • 62 Instrument of Force is on a medical table next to it.
  • Break the wall into Room D2 and use the ladder in D1 to go down to the Kitchen.
First Floor
  • Proceed through the Cafeteria, Storage and Medical Records.
  • 63 Key of Bliss is in a hole in the wall in a small room northwest of Medical Records.
  • Return to the third floor via the ladder.
Third Floor
  • 64 Lapis Eye Key. Return to the mannequin and use the Instrument of Force on its right hand and the Key of Bliss on its eyehole to obtain the key.
  • Get back to the chained box on the second floor.
Second Floor – Southern Part
  • Note: You can skip this part, as the codes for the chained box will always be the same. Proceed to the chained box puzzle solution if chosen so.
  • Proceed through the Restroom in the southern part of the floor to learn the first code for the chained box.
    • Glimpse of the Past #16. Room M5, a drawing of hands on the wall.
  • Go west to reach Room L1.
  • Go to Room M3 and break the wall to get into Room M2.
    • Memo #40: Calendar Page. Room M2, on the floor under the hospital bed. This memo contains the hints for the first code for the chained box.
  • The first code will be 1622: one year, six pills in the sink in the room, two hours on the clock in Room M1 when you adjust the hand, and two flashes of the ceiling light when looking through the hole.
  • Return to the chained box.
Second Floor – Eastern Part
  • Note: You can skip this part, as the codes for the chained box will always be the same. Proceed to the chained box puzzle solution if chosen so.
  • Break the wall into the Laundry Room and move the trolley so you can climb into Room L3.
  • 65 Director’s Office Key is on the floor in front of a television in the Observation Room through the next door.
    • Memo #41: Patient’s Note. Observation Room, on a bed.
    • Strange Photo #14: "No one knows". In the nightstand drawer of Room C5, accessed through a hole from the Observation Room.
  • Proceed to the Director's Office using the key.
    • Memo #42: Manic Scribble. On the cabinet inside the Director’s Office.
  • Use the ladder to get to the third floor.
Third Floor
    • Memo #43: Nurse’s Note. On a small table in the corner of the Room I7.
  • Go past the treatment stretcher, following the red cable to locate the generator and power it up.
    • Memo #44: Director’s Note. Crawl into the Restroom nearby and find this memo on the floor.
  • Return to the treatment stretcher in Room I7 and use the machine next to it to reveal the code 9659.
Second Floor – Solving the Chained Box Puzzle
  • 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.
  • 66 -1 Elevator Button. James will take the button during the cutscene after opening the box.
  • Enter the elevator and insert the new button to go to the basement.
Basement
  • Proceed through the basement rooms until you reach the Pump Room.
  • 67 Copper Ring is in the Pump Room on a crate.
  • Maria will join you again after picking up the ring.
  • Take the stairs to get to the first floor.
First Floor
  • Proceed into the Pool Room.
    • Strange Photo #15: "They mustn’t know". On a bench at the back of the Pool Room.
  • Go through the shower area and enter the Doctors' Lounge.
  • 68 Lead Ring is inside the fallen freezer in the Doctors' Lounge.
    • Memo #45: Dissociated Notice. On a bench in the Locker Room next to the Lounge
  • Optional: You can open the decorative box in the Pharmacy room and get supplies. Enter the correct answers to the elevator "Trick or Treat" quiz:
    • Q1 – 2
    • Q2 – 3
    • Q3 – 1
  • Go back to the second floor.
Escaping the Hospital
  • Approach the lady of the door and use both rings on it to unlock the door. Go downstairs.
    • Memo #46: Ominous Note. On the floor of one of the stair landings.
  • After the cutscene, a chase will begin. Run ahead until you reach the elevator.
  • After the cutscene, go to the Reception Office. There's a Save Point there.
  • 69 Hospital Entrance Ke is found atop the book on a desk in the Reception Office.
  • Leave the hospital.

Complete Walkthrough

In progress.

05. Brookhaven Hospital 07. Otherworld South Vale