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Nightmare Hospital

"Happy birthday dear... Oh, I forgot you name."

Third Floor Patient Wing

Now this is a true nightmare! According to your map you're just outside the patient wing stairwell on 3F. Find your way to and inside room S3 for a Save Point on the bed and two packs of Handgun Bullets on the window sill beside the creepy hand.

If you cross over to Examining Room 4 you'll find a corpse with blood dripping into a very full bucket which you can't do anything with yet. Enter the Day Room since the employee wing doors are locked. Cross over close to the camera and through the other doors to the employee wing.

Third Floor Employee Wing

Here you'll be greeted by three lovely Slurpers. Use some combination of the silenced Handgun, Shotgun and Beef Jerky to handle them. Enter the Storeroom to come across a large mirror and a terrifying experience.

The door won't open during this transition so just enjoy the show in the mirror. After your reflection freezes and the room gets dark enough, the door will unlock and you can leave. Note that your health will begin to drain as soon as the transformation is complete and it will kill you on all difficulty levels once your health is fully drained, so leave the room asap.

Second Floor Employee Wing: Mystery Caller

Take the elevator down to 2F, ignoring the additional basement floor buttons for now. Enter the Men's Locker Room and find the source of the ringing phone in one of the nearby lockers. Heather takes a very interesting phone call, ultimately revealing our pal Stanley is now known as number 7 underground... We're about to find out what that means very soon.

The mystery man also speaks of a present, which will be waiting for you on the first floor only if you answer this phone call. Getting any Trick or Treat flashbacks from Silent Hill 2?

Exit the room and grab the 36 Plastic Bag and Health Drink from the trash can inside the Women's Locker Room across the hall (don't worry, nobody's looking). Go deeper into the room if you dare to check out the scenery.

Remember that blood bucket on the third floor? You never know, you just might need it later and you now have a bag... The perfect way to carry blood around. There's no access to the 2F patient wing here anyway, so mind the two Slurpers in the hall and use the elevator to head up to 3F.

Third Floor: Returning for the Blood Bag

Pass through to the patient wing, unlocking it first if you haven't yet. Enter Examining Room 4, approach the full bucket of blood and use the Plastic Bag to get a 37 Plastic Bag (with Blood). Ah, that feels much better having this now, doesn't it?

The Day Room on the first floor is locked, preventing you from accessing the patient wing there for now, so let's instead see what the mystery caller was talking about by heading underground. On the elevator panel you'll see buttons for B1, B2 and B3. Only B3 works so head down there.

Basement Crematorium

Down here you'll come across several gurneys, some with corpses and others empty. Straight ahead from the elevator is an oven, which will be open on Easy Riddle Level but closed on Normal and Hard, requiring you to solve a puzzle to open it.

Puzzle: Crematorium Oven Door (Basement 3)

What appears on the locked oven door, or whether it's even locked at all, depends on your riddle level, in addition to the corpse placement on gurneys around the room. Find the appropriate solution below.

Easy

Here there is no puzzle; the oven will be open with a key inside.

Normal

The oven cover will display a four-by-three chart that contains the roman numerals I, II, III and IV in four randomized slots.

       
       
       
  I II III IV placed within

Additionally you'll find 10 gurneys placed around the room, some with covered corpses and some empty. Between them all they count from 0 through 9. They will always be placed like so in respect to the oven at the top of the room:

oven
1     2
3 4 5 6
7 8 9 0
 

Four gurneys will have covered corpses. Six gurneys will be empty

It potentially matches up with the chart on the oven door, doesn't it? Note that there's only four gurneys that contain covered corpses, the same number of roman numerals on the oven cover. Your job is to match them to each other to decipher the code.

To do this is quite simple. Note the position of the roman numeral "I" and find the gurney in that same position amongst the gurneys. It will be one of the four covered corpses – the number written on it will be the first number of your code. Do the same with the other three to reveal the rest.

The gurney numbers will always be the same each time, but the covered corpses and the numerals on the oven door will be randomized so you'll have to uncover the code yourself. But let's go through an example:

Oven door chart   Gurney locations Resulting code
II     IV
    I  
III      
 
1     2
3 4 5 6
7 8 9 0
  • I = 5
  • II = 1
  • III = 7
  • IV = 2

If this were your oven door, your resulting code would be 5172. Note that while the solution is randomized, you will always have a 7 in your code which corresponds to the corpse of Stanley Coleman as revealed by the mystery caller on the Men's Locker Room telephone.

Hard

This time there will be a very complex puzzle based on the nursery rhyme, "Who Killed Cock Robin?", with a five-verse riddle etched into the locked oven door. Each gurney either with a covered corpse or empty also carries a brief poem related to a single character from the same literature.

The key to this puzzle is that the first four of the five verses on the oven each describe a character. It is your task to match up each of those verses with the correct character based on the corpse memos. The code will be deciphered from the gurney numbers of those corpses, in the same order the verses are listed on the oven.

The riddle reads as follows:

(A)

Burn the one who knows no death
Pure, adored by those above
No prayers within, just simple love

(B)

And now the pining hunter
The flames longing for his rebirth
A distant breath within the earth

(C)

Burn up that heavy body of his
Make it wind, dancing in the sky
That bottomless gut now a cloud,
now a sigh

(D)

The sweet blood on his laughing lips
Now calls him to the gates of Hell
There burns evermore that soulless shell

 

Four bodies return to ashes
Thus the door is opened
Thus the door is opened

I've singled out the four verses on the side (A-D) that correspond to a specific character. Below you will find the memos from each gurney listed by their numbers. I've also marked which above character they correspond to with the same markings (A-D) but we'll go over the full solution below.

(D)

1: "The Song of the Sparrow"

"Who killed Cock Robin?
'The Sparrow,' they said
'He wants them all dead
To him, honey-sweet is
their sobbin''"

(D)

2: "The Song of the Owl"

"The Owl who forgot the sky
Resigned to his poor earthbound state
Hungry or full didn't matter at all
He ate and he ate and he ate"

 

3: "The Song of the Thrush"

"The grass the Thrush so loved to eat
Gave him sweet happiness
He sank ever deeper and finally fell
To destruction and fatal distress"

 

4: "The Song of Cock Robin"

"Cock Robin, who hid the key away
Is ash in the oven, all right
The place he held is empty now
And the doors remain shut tight"

 

5: "The Song of the Lark"

"The Lark's child lost all his words
And walled himself up all away
Heart and mouth both locked up tight
In a cage where none want to stay"

 

6: "The Song of the Dove"

"The Dove's hope died; he chose his path
His flapping wings fell still
Drenched in scarlet here they lay
His cheeks pale white and chill"

(C)

7: "The Song of the Linnet"

"He seeks out her soul by his own
black ambition
Frightening her out of her wits
Whispering love songs into her ear
What cruel Linnet wants, he gets"

 

8: "The Song of the Rook"

"The black Rook is the praying sort
Who hears the gods in the skies
His whispered petitions go on
without end
And glassy and dim are his eyes"

(A)

9: "The Song of the Wren"

"The Wren, with pure heart as
yet unrefined
Makes us laugh with his feeble
lip-smacking
But still we all know he shall
never grow old
And he knows not how much
he is lacking"

 

0: "The Song of the Kite"

"The Kite, hot, crazy, and panting mad
Sweet shackles that tease and excite
Death itself would drive him wild
Red blood that turns milky white"

If you are familiar with the nursery rhyme "Who killed Cock Robin?" you may be a little more at home here, but either way it doesn't make a big difference since this stands as its own independent riddle. So go ahead and find and read the original rhyme wherever if you wish, but it won't really help you here. Let's go through the oven verses and try to identify the corresponding character for each one.

VERSE A:

Burn the one who knows no death
Pure, adored by those above
No prayers within, just simple love

Which bird "knows no death"? How about the Rook, "Who hears the gods in the skies; His whispered petitions go on without end". Perhaps it is debatable if "glassy and dim are his eyes" suggests he has risen above death or is in fact approaching it through old age, but the first line does say he's the "praying sort" while verse A says "No prayers within", so we can cross him out after all.

What about the Wren? "He shall never grow old" matches "knows no death", while "pure heart" fits "Pure, adored by those above; No prayers within, just simple love", with themes of love and purity. "Makes us laugh" also perhaps aligns with him being adored by those above. This one's a solid fit. The Wren's verse sits upon corpse number 9, making 9 the first number of the code.

VERSE B:

And now the pining hunter
The flames longing for his rebirth
A distant breath within the earth

The phrase "pining hunter" is key here since it means the bird must be a hunter and on the decline. So who fits? The Owl, Thrush, Dove, and perhaps the Lark all sound like birds on the decline, but only the Owl stands out as a bird of prey that hunts other birds and even fish, while the others feed on insects and worms.

Looking more closely, "The Owl who forgot the sky; Resigned to his poor earthbound state" certainly fits as a pining hunter. "A distant breath within the earth" strongly corresponds to his "earthbound state" as he ate away until he became too heavy to fly. The middle line about flames and rebirth conjures up images of a Phoenix, but no such bird exists in this puzzle and everything else perfectly suits the Owl, whose number 2 represents the second number of the code.

VERSE C:

Burn up that heavy body of his
Make it wind, dancing in the sky
That bottomless gut now a cloud,
now a sigh

Wait... "bottomless gut" sounds just like the Owl who "ate and he ate and he ate", but we already determined him to be the pining hunter. And he's not the only bird who likes to eat. The Sparrow has blood on his lips as the murderer of Cock Robin, the Thrush "so loved to eat", and there's even the Wren with his "feeble lip-smacking", but he already represents verse A.

We can eliminate the Sparrow who really doesn't line up with the rest of the verse while the theme of heaviness and eating does suit the Thrush fairly well, who "sank even deeper" from eating. But perhaps sinking into his destruction and fatal distress doesn't fit "Make it wind, dancing in the sky" which is at the other end of the spectrum, and he is not the correct bird here. So what gives... who is verse C then?

Speaking of sinking, we're going to have to dive deep to uncover this one, which goes so far beyond birds that I can't fault anyone for getting confused by it. But do any of these verses stick out as a little peculiar or invoking images outside of this puzzle? How about number 7, the Linnet. Give it another read:

He seeks out her soul by his own
black ambition
Frightening her out of her wits
Whispering love songs into her ear
What cruel Linnet wants, he gets

It is the only verse that mentions "her". All the others say "he", "his" or "him", don't they? So who is this "her" then, since it's clearly not Cock Robin nor the Linnet who is also a "he".

Let's take it further. Does this sound like anyone familiar? How about that sicko Stanley Coleman who left memos for Heather everywhere in this hospital? Seeking out Heather's soul, frightening her out of her wits, whispering love songs into her ear... these are exactly the things he's been doing.

After all, remember the mystery phone caller in the Men's Locker Room said Stanley's new name is number 7 and is underground now. What's the Linnet's number? Number 7. You can even hear him breathing his last breaths as you approach the corpse for the first time. It all makes sense now... This verse is much more about Stanley than the Linnet and is a total curveball.

But what connects the Linnet's verse and Stanley Coleman to verse C on the oven door? Well, "Burn up that heavy body of his" hints at the potential burning of the subject's body while Stanley does lie in a crematorium, and we know he's number 7 and thus a corpse from the telephone call.

But what of "heavy body" and "that bottomless gut"? Perhaps it is referring to Stanley's endless hunger for Heather and her affection. The man even explains in one of his memos, "Your pristine glance; Like a feast, when you smile". Perhaps "now a sigh" refers to Heather being able to relax after his body has been burned, no longer the subject of his creepy affection.

Now it would be even stronger if we could make a connection to that sick keypad riddle about biting and tasting a poor girl, but as Stanley reveals in his nearby memo it was written by a quack doctor rather than him. But we've made enough of a connection anyway through Stanley's endless hunger for Heather.

But there is still somewhat of a connection to the Linnet bird itself too. "Burn up that heavy body of his; Make it wind, dancing in the sky" conjures up the image of a Phoenix rising from the flames, or the colours of red and orange. The Linnet aka Stanley "seeks out her soul by his black ambition". Red, orange and black together all make up colours of the Linnet.

And there you go. That one certainly required a lot of analysis and creative thinking, leaving us with the Linnet and Stanley's number 7 as the third number of the code. The hardest part is over.

VERSE D:

The sweet blood on his laughing lips
Now calls him to the gates of Hell
There burns evermore that soulless shell

Who has blood on his lips? That would be the Sparrow who killed Cock Robin. "To him, honey-sweet is their sobbin'" further aligns with verse D and the "sweet blood".

The Kite's verse does mention "Sweet shackles" and "Red blood" but otherwise the connection ends there. And the Thrush's "sweet" is from eating the grass which gave him happiness, so he's not a fit.

And it shouldn't be difficult to realize why the murderous Sparrow is the "soulless" one called to be burned at the gates of Hell, while we see no reason for the Kite to be called there, instead only "hot, crazy, and panting mad" rather than a murderer. Therefore it is the Sparrow's number 1 that represents the final number of the code.

That leaves you with the final resulting code of 9271, which is always the same on this difficulty.

Once you've got the correct code, input it into the oven's turning lock and open it to grab the 38 Cremated Key inside (which will be accessible without the puzzle on Easy). Since this key has been fried we have no way of knowing what it's for, but you may remember the first floor Day Room was locked if you went there already... Let's head there via the elevator.

First Floor Lobby

Handle the two Nurses and Slurper as you may and enter the Examination Room. There's a Save Point on the right wall, an Ampoule on the left table, and a memo on the table. Inside the Day Room through the door near the elevator, you'll find a memo on the ground and a Nurse on the other side of a fence that blocks the rest of the room.

Enter the Day Room through the far door in the hallway corner with the Cremated Key – so that indeed is what it was for. Now on the other side with the Nurse, make your way past it and through the other door to the patient wing.

First Floor Patient Wing

Watch for the Slurper right in front of you, and another a bit later. You may notice a "Happy first birthday!" message on the left well if you answered the phone in the Men's Locker Room on 2F. If you did, there will also be some presents for you inside the room, so do enter room C1 to claim them. If not, the room will be locked, but it's not too late to go back and answer the phone in the Men's Locker Room.

Optional: Birthday Presents (Room C1)

Note that you must have answered the phone inside the Men's Locker Room on 2F to receive any birthday presents in room C1. Your presents will take the form of either ammo or health, depending on what you have less of. Additionally, they will be guarded by either zero or up to three Nurses depending on how much health and ammo you have. Basically unless you're in dire straits, you'll have to kill some Nurses to claim your prize.

Room C1: Claiming Your Presents

Upon entering the room, immediately get ready to blast away at any Nurses with your Shotgun, unless you're lucky enough to have an empty room (or perhaps unlucky enough to have limited supplies). Once done, grab your presents on the far stand, ranging from some combination of multiple Handgun Bullets, Shotgun Shells and potentially Submachine Gun Bullets, if ammo is more in need, or some combination of Health Drinks, First-Aid Kits and a potential Ampoule, if your health is more hurting. Also find an additional birthday message on the floor by the bed.

Note that this room will be locked and you won't be able to claim any presents if you did not answer the phone call mentioned at the top of this birthday section. However you can always go back to answer the call and return here to collect your gifts.

Depending on you drug (health) points (1 Health Drink = 4 pts, 1 First- Aid Kit = 8 pts, 1 Ampoule = 12 pts) and ammo points (1 Handgun Bullet = 1 pt, 1 Shotgun Shell = 2 pts, 1 Submachine Gun Bullet = 1 pt), what's in here varies. The same goes for ammo and drug points added – but this determines how many Nurses will be in the room. Refer to the charts below to determine what will be waiting for you depending on what you have.

Note: You can only receive ammo presents or health presents, not both. If your number of ammo points succeeds the number of drug points, you'll receive health presents; if the opposite, you'll receive ammo presents. Either way you'll receive whatever you have less points of.

Ammo Presents, if ammo points are more than drug points:

Ammo Points Presents
30 or less HG Bullets x3, SG Shells x2, SMG Bullets x1
31 to 60 HG Bullets x3, SG Shells x1, SMG Bullets x1
61 to 90 HG Bullets x3, SMG Bullets x1
91 to 120 HG Bullets x3
121 or more HG Bullets x2

Health Presents, if drug points are less than ammo points:

Drug Points Presents
30 or less 3 Health Drinks, 2 First-Aid Kits, 1 Ampoule
31 to 60 3 Health Drinks, 2 First-Aid Kits
61 to 90 3 Health Drinks, 1 First-Aid Kit
91 to 120 2 Health Drinks, 1 First-Aid Kit
121 or more 2 Health Drinks

Nurses Guarding Presents:

Ammo + Drug Points  Nurses
119 or less 0
120 to 189 1
190 to 259 2
260 or more 3

Out in the hall, continue past the Slurper and Nurse to enter room C4. There's a Save Point on the curtain, which I recommend using due to an upcoming boss fight. At the back of the room is a makeshift altar on a stretcher, and a memo on the other stretcher to explain things.

It says to "Drench the altar in the blood which spouts red from the heart, to praise and to show loyalty unto God." You may also remember reading another memo in the first floor Day Room that said, "I sacrifice myself to the blood of criminals", likely written by Leonard.

Alrighty then, approach the altar and use the Plastic Bag (with Blood) from your inventory. If you don't have it yet, the empty bag is found in the trash of the Men's Locker Room on 2F and the blood is obtained from the bucket in Examining Room 4 on 3F.

The blood drips off and reveals a ladder leading down by the entrance of the room. Hold the questions and descend to the bottom where you'll meet and fight Leonard.

Boss: Leonard (Below Room C4)

The best-suited weapon for this fight is probably the Shotgun with its high power, and you should have a decent amount of ammo for it. That said, the SMG is great too but ammo is very limited, and the Handgun isn't too bad and can allow you to fight from a very safe range.

Immediately at the start, approach Leonard and quickly blast him with the Shotgun or burst your SMG. When he drops, hold your fire until he hits the floor underwater, at which point you can continue with the SMG or fire more shells to keep him down there as long as you can while thrashing, or get in a free kick or two. Otherwise he'll try to swim away, at which point you can't damage him and have to wait for him to re-emerge. Hold L2 to track him while underwater.

As he swims, follow him back and forth and generally try to stay behind him at a safe distance, since when he eventually rises after swimming for 5-10 seconds he'll try to smack you on the way up if within range. When he does come up, stay clear of any arm swing and blast or shoot him again. From there just rinse and repeat the strategy. The more quickly you can continue firing at him while on the ground, the longer you can keep him pinned, do more damage and prevent him from annoyingly swimming around the arena.

Simply repeat the strategy of attacking him when he rises, trying to keep him pinned when he drops, and then waiting for him to rise after swimming if he slips away. And avoid the spinning brushes at the back since they'll seriously hurt Heather if touched, even killing her on Hard.

Try the Katana if low on ammo. Use the same methods for avoiding him, but once he stands try to move behind him and attack that way. Kick or slice him with the downward swing while he's thrashing on the ground.

Leonard's attacks:
Leonard's attacks are fairly simple in nature. He'll either swing with his left or right hand when standing or while rising from the water. Always stand clear before he rises, preferably behind him and ready to attack. Don't be afraid to get close for a good blast, but make sure he's not about to swing at you first.

Overall it's quite a simple fight and shouldn't give you much trouble. Stay clear of him to avoid his attacks and get in your shots while he's standing or thrashing underwater.

Normal Hospital First Floor

Upon defeating Leonard, Heather awakens in room C4 of the normal hospital, finding the 39 Talisman at her feet. That means you've accomplished your goal. Leave the room and exit Brookhaven entirely through the double doors in the lobby.

Streets of Silent Hill: Back to the Motel

After the cutscene of Vincent and Claudia, head north up Carroll and take Nathan east all the way back to Jack's Inn. Inside the compound, enter your motel room, number 106 in the southwest corner.

Inside, Vincent has a message for you: "The church is on the other side of the lake." While the church is not on your map, you can see that Nathan Avenue is the road that will take you to the north side of the lake while you're currently at the south.

So get started by heading northwest down Nathan. Once you pass Pete's Bowl-O-Rama, time will fast forward and Heather will arrive at the amusement park for a nighttime detour on the way to the church.

11. Brookhaven Hospital 13. Lakeside Amusement Park