Items

Location: Alchemilla Hospital, 2nd floor, Room 204, on the broken light box.
Description: A torn X-Ray of a patent chest.
Purpose: Place it on the light box in the Nurse Center to learn the code.

Location: Alchemilla Hospital (Otherworld), 3rd floor, Operating Theater, in the hand of a corpse.
Description: Operating Theater. is written on the tag.
Purpose: Unlocks the doors of the Operating Theater.

Location: Alchemilla Hospital (Otherworld), 2nd floor, Room 203, in the wall hole.
Description: 'Lakeside Amusement Park' is written below his bowtie.
Purpose: Alex gives it to Joshua in the Hospital.

Location: Shepherd's House, 2nd floor, on the sink stand in the parents' restroom.
Description: It's an old cassette tape. The label's been ripped off.
Purpose: Insert it into the answering machine in the kitchen of Shepherd's House to listen to the record.

Location: Shepherd's House, 1st floor, Alex's mom gives it during the cutscene.
Description: The cylinder is rusted and won't turn. It would be a nice piece, if I could get it repaired.
Purpose: Alex gives it to Curtis in the Junkyard.

Location: Shepherd's House, Basement, on the water pump.
Description: The remote for the garage door. Dad was always losing this thing.
Purpose: Opens the garage door of Shepherd's House.

Location: Shepherd's House, Garage, in the cabinet.
Description: An empty gas can I found in the garage.
Purpose: Used to fill in the gas from the truck.

Location: Shepherd's Glen, after filling the Empty Gas Can with gas from the truck's tank.
Description: The gas can is filled with gas siphoned from the truck.
Purpose: Used to get the water pump in the basement work and drain the water.

Location: Rose Heights Cemetery, East Garden, on the fountain's pedestal.
Description: Half circular stone plate with a partial image of a tree embossed on the surface.
Purpose: Should be placed onto the Cemetery's parking gate together with another piece to unlock it.

Location: Rose Heights Cemetery, West Garden, on the fountain's pedestal.
Description: A stone plate with an image of a half tree on it.
Purpose: Should be placed onto the Cemetery's parking gate together with another piece to unlock it.

Location: Rose Heights Cemetery, Bartlett Mausoleum, inside the coffin after solving the puzzle.
Description: It looks like there's an inscription on the watch here... It says Forgive me...
Purpose: Alex gives it to Mayor Bartlett in the Hotel.

Location: Grand Hotel, 1st floor, in the toolbox in the elevator shaft.
Description: Used by the maintenance crew inside to access restricted areas both inside and outside of the Hotel.
Purpose: Unlocks the gate to the alley by the Grand Hotel.

Location: Grand Hotel, 4th floor, Room 404, in the restroom's cabinet.
Description: A postcard from Alchemilla Hospital.
Purpose: Alex gives the postcards to the Lady in the Room 301 for the Strange Key.

Location: Grand Hotel, 5th floor, Room 507, on the bed.
Description: A postcard from Lakeside Amusement Park.
Purpose: Alex gives the postcards to the Lady in the Room 301 for the Strange Key.

Location: Grand Hotel, 4th floor, Room 403, in the bath.
Description: A postcard from Toluca Lake.
Purpose: Alex gives the postcards to the Lady in the Room 301 for the Strange Key.

Location: Grand Hotel, 3rd floor, in front of Room 301, given by the Lady after collecting all the postcards.
Description: Hopefully this key will open the door to the room Josh is in.
Purpose: Unlocks the door to Room 306 in the Hotel.

Location: Doc Fitch's Office, Examination Room, on the cabinet.
Description: A key that looks like it goes to a small case.
Purpose: Unlocks the case on the little girl's dresser in the Scarlet's Room in the Doc Fitch's Office.

Location: Doc Fitch's Office, Scarlet's Room, in the locked case.
Description: This must be Scarlet's favorite Doll. It looks like it's seen better days...
Purpose: Alex gives it to Doc Fitch in the Hell Descent.

Location: Doc Fitch's Office, after the fight with Scarlet.
Description: A bronze key with a cross into the head piece.
Purpose: Unlocks a secret floor panel in the Town Hall.

Location: Shepherd's House, secret room in the Basement, on the preparation table.
Description: The key to the attic. Mom and Dad always kept it hidden in their room.
Purpose: Unlocks the door to the attic on the 2nd floor in the Shepherd's House.

Location: Shepherd's House, secret room in the Attic, in the table's drawer after solving the puzzle.
Description: It looks like a letter from my father. Hard to believe he'd write any of this.
Purpose: Show it to Alex's mom.

Location: Shepherd's House (Otherworld), 1st floor, Living Room, on the cabinet.
Description: This mask looks just like my mother. She seems to be disappointed in me.
Purpose: Required to solve the puzzle with masks in the Dining Room.

Location: Shepherd's House (Otherworld), 2nd floor, on the cabinet in the hall.
Description: Looks like an old meat cleaver.
Purpose: Required to solve the puzzle with knives in the Basement.

Location: Shepherd's House (Otherworld), 2nd floor, Bedroom's restroom, on the sink stand.
Description: This mask resembles my mother's face. Cold and emotionless, as always.
Purpose: Required to solve the puzzle with masks in the Dining Room.

Location: Shepherd's House (Otherworld), 2nd floor, Bedroom's restroom, in the bath.
Description: This is Joshua's favorite stuffed animal. It's wet and reeks of mold.
Purpose: Required to solve the puzzle with windows in Josh and Alex's Room.

Location: Shepherd's House (Otherworld), 1st floor, Kitchen, on the counter.
Description: This mask looks like my mother. It's as if her face is frozen in a state of perpetual sadness.
Purpose: Required to solve the puzzle with masks in the Dining Room.

Location: Shepherd's House (Otherworld), 2nd floor, Guest Room, under the cabinet.
Description: The inscription reads "For permitting others to suffer."
Purpose: Required to solve the puzzle with medals in the Attic.

Location: Shepherd's House (Otherworld), Attic, on the mannequin.
Description: The inscription reads "For atrocities committed."
Purpose: Required to solve the puzzle with medals in the Attic.

Location: Shepherd's House (Otherworld), Attic, on the circular pedestal.
Description: The inscription reads "For dereliction of duty."
Purpose: Required to solve the puzzle with medals in the Attic.

Location: Shepherd's House (Otherworld), 2nd floor, Josh and Alex's Room, in the small room beyond the fleshy gap.
Description: This knife looks like it's seen a lot of use.
Purpose: Required to solve the puzzle with knives in the Basement.

Location: Shepherd's House (Otherworld), Basement, Secret Room, in the corpse of Schism.
Description: There are blood stains all over the blade.
Purpose: Required to solve the puzzle with knives in the Basement.

Location: Elle gives it to Alex during their trip to Silent Hill.
Description: This is the locket that Elle took from her mom.
Purpose: Alex gives it to Judge Holloway in the Prison.

Location: Silent Hill, in the small yard in front of Alchemilla Hospital.
Description: Bloodstone is the birthstone for March.
Purpose: Required to solve the puzzle with Janus statue in Dargento Cemetery.

Location: Toluca Lake Offices, Office, in the sink.
Description: Turquoise is the birthstone for December.
Purpose: Required to solve the puzzle with Janus statue in Dargento Cemetery.

Location: Toluca Lake Offices, Kitchen, on the desk.
Description: Toluca Lake Water and Power is barely legible on the tag.
Purpose: Unlocks the door to Toluca Lake Water and Power in Toluca Lake Offices.

Location: Dargento Cemetery, on the bench in the area between Janus Garden and Sun Garden.
Description: Garnet is the birthstone for January.
Purpose: Required to solve the puzzle with Janus statue in Dargento Cemetery.

Location: Dargento Cemetery, on the bench in the northern section of Janus Garden.
Description: Sapphire is the birthstone for September.
Purpose: Required to solve the puzzle with Janus statue in Dargento Cemetery.

Location: Dargento Cemetery, Janus Garden, in the statue of Janus after solving the puzzle with stones.
Description: Property of Dargento Cemetery is etched into the key.
Purpose: Unlocks the Moon Garden in Dargento Cemetery.

Location: Prison, Cell A10, in the vehicle's broken headlight.
Description: A piece of loose wire I pulled from a broken light.
Purpose: Required to solve the wire puzzle in the Prison.

Location: Prison, Cell A20, on the radio.
Description: I tore this wire out of an old radio. It could come in handy.
Purpose: Required to solve the wire puzzle in the Prison.

Location: Prison, Cell Block A, Office, on the work bench.
Description: A scrap of electrical wire - I found it in an old toolbox.
Purpose: Required to solve the wire puzzle in the Prison.

Location: Church, East Wing, 1st floor, in the baptismal bowl.
Description: A brass plate etched with an image of a chalice.
Purpose: Required to solve the plates puzzle in the Church.

Location: Church, East Wing, 2nd floor, on the table.
Description: This candle seemed out of place where I found it. I wonder where it belongs.
Purpose: Should be placed in front of the statue holding the plate in the Church.

Location: Church, East Wing, 2nd floor, in the confession booth.
Description: A brass plate etched with an image of a man begging for forgiveness.
Purpose: Required to solve the plates puzzle in the Church.

Location: Church, West Wing, 1st floor, in the hands of statue.
Description: A brass plate etched with an image of a candle.
Purpose: Required to solve the plates puzzle in the Church.

Location: Church, West Wing, 2nd floor, behind the painting of the tree.
Description: A brass plate etched with an image of a tree.
Purpose: Required to solve the plates puzzle in the Church.

Location: Church, West Wing, 2F, in front of the stained-glass window.
Description: A brass plate etched with an image of a sword.
Purpose: Required to solve the plates puzzle in the Church.

Location: Church, Main Hall, Alex's dad gives it to Alex before he's slaughtered.
Description: Dad gave me this ring, moments before he was killed. He said it's been passed down through the generations.
Purpose: Storyline key object.

Location: Underground, Room 211, on the key rack.
Description: It's a large, metal key.
Purpose: Unlocks the door to Sector 3 in the Underground.

Location: Underground, Room 321, on the key rack.
Description: This key has the word "Armory" scratched into it.
Purpose: Unlocks the door to Room 301 in the Underground.

Description: -
Notes: Restores a small amount of health.

Description: -
Notes: Restores a moderate amount of health.

Description: An experimental drug that will boost my health... I hope.
Notes: Restores all health and extends a life bar.