SILENT HILL: Townfall mid-game puzzle answers: medical center, Clara Woods, CEG HQ
Every documented code from the Clinic scales onward: vitals, X-rays, infusion rates, the Clara Woods lockers and safes, and the CEG HQ doors.
Puzzle spoilers from the Clinic onward. Answers are bolded; try the clue path first if you want the deduction. Items keep their English in-game names.
Clinic scales
Where: the Clinic, after the Pharmacy. Clues: three items already in your possession — the Broken Stethoscope, the Prescription Dosage Error note from the pharmacy locker, and Zoe's Lanyard. Answer: place Broken Stethoscope / Prescription Dosage Error / Zoe's Lanyard in that order on the scales.
Community Gardens shed
Where: the Community Gardens area. Clue: the year on Jane Chalmers' flower bed. Answer: the shed lock takes 1993 and yields the Community Garden Key.
St. Amelia Medical Center
This is the densest puzzle block in the game. Work through it station by station:
- Vitals console — the whiteboard in the operating room documents an 88 kg patient with pulmonary edema and chest trauma. Set systolic 70, diastolic 40, pulse 160, SpO2 80.
- Surgery door — the pager number gives 7103.
- X-ray machine — skull: kV 3, mA 7, time 1; chest: kV 7, mA 3, time 1.2.
- Records room — keypad takes 2605.
- Infusion station — for the 88 kg patient, set Dextracyclate 15, Hydroxaline 7, Tensobromide 8.
- Blood storage (otherworld version) — hang Sarah Watson and Matthew Clark on the left, George McEwan on the right; on the blood-type dial, connect T.F., H.M., S.W., then confirm with the ORDELL button.
The medical wing's phone lines help here too: 5353 reaches Hospital Storage, and 496 0556 → 3, 2, 2, 1 runs the medical call tree.
Clara Woods estate
A chain of small locks — pin codes and safes in close sequence:
- Lost & Found: 772
- Locker 75: pin 184 — contains the Flare Gun
- Safe: 956
- Locker 17: pin 575
- Safe: 736
- Safe: 129
- Locker 204: pin 971
- Locker 94: pin 490
Nothing here is optional decoration: the estate's search feeds directly into reaching CEG HQ.
CEG HQ
- Security door — 4895
- Employee database — enter ID 00007820518 and print the access card
- Finance door — the CEG Checkout Sheet points to 2709
- Exterior generator — set the right lever diagonal, place the key on the right, pull the red lever
The three Mechanical Parts found around this chapter combine into the Constructed Mechanical Device, which opens the CEG Tower gate.
New Game+ additions
Two locked doors matter only on special routes: the hotel button door in Journey to Medical (Bird, Tree, Planet, Bird, three-legged triangle, Satellite, Satellite, Fish, Rocket, Planet, Dog, Pillar → 21, 17, 9, 21, 12, 24, 24, 5, 3, 9, 1, 14) and the SWDP doors 793 and 621 in the finale. Their context lives in the endings guide, since they only matter for the Dog and Sci-fi routes.
When a code fails
The rule from the opening still applies: confirm the clue was collected, the item is in your inventory, and you are entering values on the correct side of a dual control. When a puzzle has no visible code, sweep the room for paper first, then check the CRTV — see the CRTV and stealth loop. For how these blocks sit inside the chapter flow, use the chapter walkthrough.
Sources and verification
- PowerPyx puzzle walkthrough — all code values, item names and generator steps.
Compiled 26 September 2026 from the linked walkthrough; not yet independently re-verified on this site's own hardware.
