Silent Hill: Townfall Part 3 Walkthrough — The Patient
Updated
First draft: this Silent Hill: Townfall Part 3 walkthrough is compiled from launch-week guides and cross-checked between them (sources at the bottom). We're verifying it in our own playthrough and will update anything that differs.
All Silent Hill Townfall Part 3 puzzle solutions
| Puzzle | Where | Solution |
|---|---|---|
| Vital signs | Surgery | Blood pressure 70 / 40, pulse 160 (it flickers to 162), blood oxygen 80% |
| X-ray room door | Next to the surgery | 7103 |
| Skull X-ray | X-ray room | Site Skull, kV 3, mA 7, Time 1 |
| Chest X-ray | X-ray room | Site Chest, kV 7, mA 3, Time 1.2 |
| Records Room door | Chapman Ward, ground floor | 2605 |
| Infusion pumps | Surgery | Dextracyclate 15, Hydroxalene 7, Tensobromide 8 |
| Storage room | Reception phone | Call 5353, then take the elevator to the basement |
| Intubation | Surgery | Three insertions: right side, lower left, then top |
| Blood transfusion | Medical Centre – Different | Left: Sarah Watson · Middle: Matthew Clark · Right: George McEwan |
| Blood circles | Medical Centre – Different | Line up T.F., H.M. and S.W., then press the Ordell button |
None of these values change between playthroughs.
Silent Hill Townfall Part 3 overview
Part 3 is split between Zoe and Simon. In Chapter 7 (Zoe: The Patient), Zoe has to keep a patient alive in the St. Amelia Medical Centre's surgery, with Dr. Glenn guiding her over the intercom. In Chapter 8 (Many Into One), Simon crosses a nightmare version of the same building, the Medical Centre – Different, collecting blood bags for a transfusion machine.
- Trophy warning: PowerPyx flags Save It For The Patients (Silver) for Zoe's section here as well as in Part 2. Don't use healing items while playing as Zoe.
- Stealth over fighting. Guides use radios to lure monsters out of the way and the CRTV to watch them before leaving a room. Every kill counts against the Justice ending.
- Items are missable. According to PowerPyx, you can't return to this section without reloading an earlier save.
1. The surgery: reading the patient
Zoe starts in the surgery. Take the map to the left of the whiteboard and the first aid kit, read the emails on the computer, then talk to Dr. Glenn on the intercom.
He needs the patient's readings. Check the three monitors around the bed and report:
- Blood pressure: 70 systolic / 40 diastolic
- Pulse: 160. The number flickers; 162 also counts.
- Blood oxygen: 80%
2. X-rays
- Open the X-ray room with 7103.
- Skull: move the camera up until the screen reads "Patient Skull – Aligned". Set Site to Skull, kV to 3, mA to 7 and Time to 1, switch the power on and take the X-ray.
- Chest: move the camera down until it reads "Patient Chest – Aligned". Set Site to Chest, kV to 7, mA to 3 and Time to 1.2, and take the second X-ray.
- Collect both prints from the printer and put them in the viewer back in the surgery.
3. The three drugs
Dr. Glenn needs three drugs for the 88 kg patient:
| Drug | Where |
|---|---|
| Tensobromide, 11 mg | Green box in the Pharmacy Store, Victoria Ward (ground floor) |
| Dextracyclate, 2.5 mg | Infusion machine at Bay 6, Chapman Ward (first floor) |
| Hydroxalene, 3 mg | Metal cabinet in the Records Room, Chapman Ward (ground floor) |
The Records Room code, 2605, is on the office board on Chapman Ward's first floor. There's a telephone to save in the Chapman Ward office.
Monsters patrol the wards. Wait for them to walk away, or switch on a radio to pull them aside; you can also take one down from behind if you need to.
4. Infusion and intubation
Infusion: set the three pumps around the bed to these delivery rates, press Ready Pump on each, then start the process from the machine on the tray to the right of the whiteboard:
- Dextracyclate: 15
- Hydroxalene: 7
- Tensobromide: 8
Intubation kit:
- Use the phone at reception, next to the surgery, and call 5353 (hospital storage). This lets the elevator go down to the basement.
- A monster waits by the storage room. Into Indie Games lures it off by turning on the radio in the kitchen and slipping round through the staff room.
- Squeeze through the right-hand side of the storage room to reach the Medical Intubation Kit, then sneak back to the elevator.
Intubation: move the stick toward the flashing red spot until the circle pulses and the controller vibrates, then hold R2 (RT) until it turns white. Do this three times: the right side, the lower left, then the top. That ends Zoe's chapter.
5. Simon: the blood bags
Simon wakes in the Medical Centre – Different. The X-ray room (code 7103 again) has a Strange Postcard on the counter.
- The first bag, the Alan Duncan Blood Bag, is in a metal safe reached through a vent on the east side. Transfuse it at the machine to open the gate, and save at the telephone nearby.
- Four more bags are spread across the wards. Into Indie Games finds them here:
- Sarah Watson Blood Bag: Room S05.
- Lesley Greer Blood Bag: Room 12 in Ward W, up a ladder. The Ward W Master Key is in Room 04. Transfuse this one straight away.
- George McEwan Blood Bag: in the lower area, reached through the vents. The Ward P Master Key is in the same place.
- Matthew Clark Blood Bag: behind the Ward P gate. You have to turn two metal wheels while hiding from a monster before you can reach it.
- Check the CRTV before you leave each room. The wards are full of monsters, and several of them can be avoided entirely.
6. The transfusion: end of Part 3
Back at the transfusion machine, place the last three bags:
- Left: Sarah Watson Blood Bag
- Middle: Matthew Clark Blood Bag
- Right: George McEwan Blood Bag
Transfuse all three. Then rotate the circles until the lines for T.F., H.M. and S.W. run straight, and press the Ordell button to confirm. The door opens and a cutscene ends Part 3.
Silent Hill Townfall Part 3 clues and documents
PowerPyx lists five, in the order you find them:
- Supply Situation Update — Consult Room B, computer
- Unrealistic Expectations — Chapman Ward first floor, desk computer
- Dailies – Infusion Status — Chapman Ward first floor, desk computer
- Dailies – Records Room Code — Chapman Ward first floor, office board
- Equipment Cleanup Notice — Victoria Ward basement, hallway bed
Part 3 also has three Strange Postcards (the X-ray room counter, Ward W Room 06, and a medical cabinet in Ward P Room 08), but postcards don't count toward your ending. Keep your Discoveries and kills up to date in the ending calculator.
New Game Plus
The Dog ending's coins and the Sci-fi ending's Strange Books are in Parts 1, 4 and 6, so there's nothing extra to find in Part 3 on a second run. See the endings guide.
Sources
This Silent Hill Townfall Part 3 guide is compiled from: