Silent Hill Townfall: Blood Bags & Transfusion Puzzle ⋆ S4G

Update: 2026-10-11

In the second section of Chapter 3 in Silent Hill: Townfall, you’ll face an extensive blood transfusion puzzle. Here’s the walkthrough.

In the “Many Into One” section of Silent Hill: Townfall, you need to find five blood bags, match them to the correct patients, and then solve the Ordell blood transfusion puzzle. Here you’ll find all the locations and the correct solution involving S.W., T.F., and H.M.

Chapter 3 consists of the sections The Patient and Many Into One. You can find the complete Silent Hill: Townfall chapter overview here.

Quick Walkthrough: Which Blood Bags Do You Need?

Objective	Answer
Open the S.W. door	Alan Duncan
Open the D.P. door	Lesley Greer
Match the blood bags	Sarah Watson, Matthew Clark, George McEwan
Simon’s blood type	A+
Compatible types	A+, A−, O+, O−
Ordell machine	Connect S.W. + T.F. + H.M.

All Five Blood Bag Locations in Silent Hill Townfall

Blood Bag	Location / Purpose
Alan Duncan	Opens S.W., Main Hall
Sarah Watson	Ward S, Room 05
Lesley Greer	Opens D.P., Ward W, Room 04
George McEwan	Ward P, Room 10
Matthew Clark	Ward P, Room 03 / elevator shaft

Find Alan Duncan’s Blood Bag and Open the S.W. Door

In Medical Center – Different, you need to find several blood bags. The two areas are initially blocked by doors marked S.W. and D.P. To open the S.W. door, you need Alan Duncan’s Blood Bag. You’ll find it in the first room on the right side of the eastern corridor.

Silent Hill: Townfall – hospital map with a marked location near the blood transfusion machine while searching for Alan Duncan. — Here you can find Alan Duncan’s blood bag. © S4G / Konami

You can’t enter the room directly, however. Instead, enter the room two doors farther down and use the vent inside. Then place Alan Duncan’s Blood Bag into the machine and open S.W.

Sarah Watson and Lesley Greer: Find the Blood Bags in Wards S/W

Climb down the ladder behind the S.W. door into Ward S. You’ll find Sarah Watson’s Blood Bag in Room 05. Then use the stairwell to continue down to Ward W.

Warning: A monster appears here that you cannot kill, and it will instantly kill you on contact.

First, head to Room 04. The Ward W Master Key is lying on the desk. Use it to open Room 13. From there, use the ladder and the hole in the wall to reach Lesley Greer’s Blood Bag. You can then use it to open the D.P. door.

Silent Hill: Townfall – Hospital map showing a room marked in red where you can find the master key. — The room marked in red leads you to the master key. © S4G / Konami

George McEwan and Matthew Clark: Find the Blood Bags in Wards D/P

First, lure the monster away from Room 03 with a bottle and head inside. Room 03 is connected to Room 09 below it. Activate the elevator switch. This sends M.C.’s body down one floor. Outside, next to the stairs, you’ll find a vent. Crawl through it and make your way through Room 06 to Room 07. Drop into the pit there.

You’ll land in Room 10. There you’ll find George McEwan’s Blood Bag and the Ward P Master Key. Leave the room and use the key to open Room 03. You’ll then find Matthew Clark’s Blood Bag in the elevator shaft.

You’ll then find Matthew Clark’s Blood Bag in the elevator shaft. When the gates outside close, crawl through the vent into Room 02 and head from there to the stairs leading to Ward D. The large monster appears again here.

Silent Hill: Townfall – Hospital map showing two positions marked in red for the valves in the transfusion puzzle. — The two highlighted rooms show you the positions of the valves you need. © S4G / Konami

To open the closed gates, you need to turn two valves. You’ll find them in Room 05 and Room 10. Once you’ve turned both, the route opens and you can escape using the ladder.

Match the Blood Bags Correctly: Sarah, Matthew, and George

Back at the main gate, place the three remaining blood bags into the correct slots of the blood transfusion machine. Both the records and the blood bags contain clues.

Silent Hill: Townfall – A blood bag by Matthew Clark, blood group B+, with a handwritten note on the label. — The names, blood groups and notes on the blood bags will help you match them up correctly. © S4G / Konami

Here are the correct matches:

Sarah Watson – clue: “Rhythm holds. Head doesn’t.”

Select:

Regular Pulse
Head Wound

Matthew Clark – clue: “Words scatter. Body complies.”

Select:

Verbal – Confused
Motor / Reaction – Obeys Commands

George McEwan – clue: “All over. Nothing left to cool.”

Select:

2nd / 3rd

Once you’ve matched them correctly, the main gate opens.

Solve the Ordell Transfusion Door Puzzle: Simon’s Blood Type

Another blood transfusion puzzle awaits behind the door. First, you need to determine Simon’s blood type. Open your inventory and examine Simon Ordell’s Medical Wristband, which you’ve been carrying since the beginning of the game. It shows: A+

Silent Hill: Townfall – A metal plaque displays the blood groups A+, O-, O+ and A- as a clue for the transfusion puzzle. — This blood group chart provides crucial guidance for the correct transfusion. © S4G / Konami

The plaques on the wall show you the compatible blood types. Someone with A+ can receive red blood cells from A+, A−, O+, and O−. Now examine the available blood bags. Three patients have compatible blood types:

Sarah Watson – A+
Thomas Fergusson – O+
Hannah McGregor – O−

Silent Hill: Townfall – a circular transfusion machine with several initials and tubes surrounding the central marker ‘Ordell’. — Connect the hoses on the blood transfusion machine as shown in the picture. © S4G / Konami

Rotate the rings so that S.W., T.F., and H.M. connect directly to Simon Ordell in the center. Then move the cursor onto Ordell and confirm the transfusion. This completes the major final puzzle of Chapter 3.