Chapter 3 / Section 7

Silent Hill Townfall: Walkthrough Chapter 3 “The Patient”

Guide
Silent Hill: Townfall – Jess beside a lightbulb icon with the text “Surgical Emergency” for the Chapter 3 walkthrough.
Silent Hill: Townfall – Cover art showing the protagonist in a red coat looking at his smartphone on a foggy, gloomy street.
Status: Released
Release: September 24, 2026

Chapter 3 features some of the most intense puzzle sequences in Silent Hill: Townfall. You’ll need to treat a patient, administer the correct medication dosages, and perform an intubation. Here’s the walkthrough.

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The first major section takes place in the operating room and hospital. Dr. Glenn gives you instructions over the intercom. Later, the medical center changes, and you’ll need to find several blood bags and match them to the correct patients.

Find the Correct Vital Signs

Once you reach the operating room, Dr. Glenn contacts you over the intercom and asks for the patient’s vital signs. The problem: Several devices around the patient display different readings. You can find clues on the laptop, or simply follow the walkthrough below.

Silent Hill: Townfall – operating room with hospital bed, monitors, infusion devices and numerous cables running across the walls.
Examine the connected devices and monitors carefully inside the operating room. © S4G / Konami

Blood Pressure

Facing the patient from the foot of the bed, move to the patient’s right side and examine the first device. The correct blood pressure is: 70/40

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Pulse

You’ll find the correct pulse reading at the patient’s right leg: 162

Blood Oxygen

Next, move to the patient’s head and examine the device on the left side. The correct reading is: 80

For the next step, you need to contact Dr. Glenn using the pager. Enter the following number: 7103. This gives you access to the next stage of the treatment.

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Set Up the X-Ray Correctly

Dr. Glenn’s door code gives you access to the X-ray machine in the adjacent room. At the monitor, you first need to align the beam correctly. Adjust the zoom until the displayed squares line up exactly. You can find the required exposure settings in the X-ray dosage chart on the small laptop in the operating room.

Silent Hill: Townfall – X-ray machine shows the patient’s correctly aligned skull for the scan in Chapter 3.
Align the squares correctly until the X-ray machine confirms the image. © S4G / Konami

Skull

Use the following settings:

  • kV: 3
  • mA: 7
  • Time: 1

Upper Body

Use the following settings:

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  • kV: 7
  • mA: 3
  • Time: 1.2

Complete both scans to continue the treatment.

Find Tensobromide, Hydroxalen, and Dextracyclate

Dr. Glenn now sends you to retrieve three medications in specific dosages: Tensobromide, Hydroxalen, and Dextracyclate.

Tensobromide

You’ll find the Tensobromide in a medical case inside the medication storage room on the ground floor of the West Wing.

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Silent Hill: Townfall – hospital map with the medication storage room marked in red on Victoria Station’s ground floor.
You can find the tensobromide in the marked medical supply room at Victoria Station. © S4G / Konami

Hydroxalen and Dextracyclate

Head upstairs and read the emails at the reception desk. The message “Daily Notes – Infusion Status” tells you that Hydroxalen is located in the office on Chapman Ward upstairs and that Dextracyclate is at Bay 6.

Silent Hill: Townfall – hospital map of Chapman Station with Bed 6 marked in red on the first floor.
Head to Bed 6 on the first floor of Chapman Station. © S4G / Konami

However, the Hydroxalen there has the wrong dosage. Instead, you need the correct syringe from the locked records room one floor below. You’ll find the door code upstairs. Go to the back office opposite Bay 6. The relevant note is pinned to the bulletin board next to the desk. The code is: 2605. Return to the records room on the ground floor of the West Wing (Chapman Ward) and unlock the door.

Set the Correct Medication Dosages

Once you have all three medications, return to the operating room. You can check the correct dosages on the laptop. First, you need the patient’s body weight, which is written on the whiteboard to the left of the patient.

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Then set the following values:

  • Tensobromide: 8
  • Hydroxalen: 7
  • Dextracyclate: 15

Insert the medications into the appropriate devices and enter the correct rate for each one. Then activate the pump on the left side at the head of the bed.

Find the Intubation Equipment in the Basement

Next, you’re asked to retrieve the intubation equipment. First, go to reception and call the storage room. The elevator will then be sent to you. You’ll find it just around the corner on the right. Take it down to the basement and follow the corridor west. The storage room is behind the last door on the right.

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  • Warning: A monster is lurking outside the room.
Silent Hill: Townfall – hospital map with the storage room in Victoria Station’s basement marked for the intubation equipment.
Find the intubation equipment in the marked storage room in Victoria Station’s basement. © S4G / Konami

You can either distract the monster using the radio in the kitchen on the left or lure it away by throwing a bottle. Then enter the storage room and squeeze between the shelves. You’ll find the intubation equipment behind them.

How to Intubate the Patient Correctly

Back in the operating room, a skill check begins. Pay attention to the direction shown by the indicator. If the arrow points right, for example, move the right stick very slowly to the right. If the arrow points diagonally up and to the left, carefully move the stick up and to the left. The key is not to push too far in the indicated direction.

As soon as the indicator starts flashing, hold R2 or RT until it fills completely with white. You can tell whether the step worked by Dr. Glenn’s reaction. If he says “Focus, Nurse” and the patient spits up blood, your movement was incorrect.

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Picture of Josef Erl

Josef Erl

Josef is a freelance online journalist and heads the S4G editorial team. He plays anything that captivates him with an engaging story and innovative gameplay mechanics. As the former editor-in-chief of MIXED-news.com, he is also highly experienced in the fields of virtual reality, augmented reality, and mixed reality.
Silent Hill: Townfall – Cover art showing the protagonist in a red coat looking at his smartphone on a foggy, gloomy street.
Status: Released
Release: September 24, 2026