Silent Hill: Townfall Walkthrough – How to Solve Every Major Puzzle ⋆ S4G

Update: 2026-10-03

With my Silent Hill: Townfall walkthrough, you’ll find your way around St. Amelia, solve the most important puzzles, and get past even the toughest sections. Here’s an overview of all chapter walkthroughs.

In Silent Hill: Townfall, you’ll need to piece together clues, investigate radio signals, open locked rooms, and find and use items correctly. Some puzzles span multiple locations and require you to properly interpret notes, emails, and other clues. To keep you from eventually hurling your controller across the room in frustration, this overview brings together my walkthroughs and guides for all the puzzles in Silent Hill: Townfall.

Note: I’ll continue adding more chapters and guides to this walkthrough. For tracking your progress, you can find my full chapter list for Silent Hill Townfall here.

Silent Hill: Townfall – Chapter 1 Walkthrough: Arrival

In the first chapter, Silent Hill: Townfall introduces you to St. Amelia and some of its most important gameplay mechanics. The Cold Open already requires you to combine several clues inside a hotel room to move forward. Shortly afterward, the search for Zoe Ellis begins.

Go straight to the walkthrough: Silent Hill Townfall: Walkthrough Chapter 1 “Arrival”

Among other places, you’ll explore:

Zoe’s house
the newsstand
the medical center
the pharmacy
Jess’ house

The CRTV becomes especially important for the first time, allowing you to pick up radio signals and reveal additional clues. Some of the chapter’s bigger tasks include restoring power to Zoe’s house, opening an organ transport box, and solving several puzzles in the medical center and pharmacy. Toward the end of the chapter, you’ll also need to figure out which items belong on the three scales in Zoe Ellis’ office.

Silent Hill: Townfall – Simon beside a scale puzzle and the question “What goes on the three scales?” for the Chapter 1 walkthrough. — My Chapter 1 walkthrough shows how to solve the three-scale puzzle in Silent Hill: Townfall. © S4G / Konami

Silent Hill: Townfall – Chapter 2 Walkthrough: Zoe

Chapter 2 follows Zoe as she makes her rounds. One of the first major locations is the community gardens. There, you’ll need to open a locked garden shed before finding a way through the area.

Go straight to the walkthrough: Silent Hill Townfall: Walkthrough Chapter 2 “Zoe”

Later, the focus shifts more heavily toward stealth. Inside Mr. Stewart’s house, you can’t simply rely on open combat. Instead, you need to watch his movements, use hiding spots, and create noise to deliberately lure him away from your path.

Silent Hill: Townfall – Jess beside Mr. Stewart’s silhouette with the text “Escape Mr. Stewart” for the Chapter 2 walkthrough. — My Chapter 2 walkthrough shows you how to escape Mr. Stewart. © S4G / Konami

Silent Hill: Townfall – Chapter 3 Walkthrough: The Patient

Chapter 3 ramps up the puzzle difficulty considerably. You initially find yourself in an operating room, where you need to treat a patient under the guidance of Dr. Glenn.

Go straight to the walkthrough: Silent Hill Townfall: Walkthrough Chapter 3 “The Patient”

The room is filled with medical devices displaying different readings, and you need to determine which ones actually belong to the patient. After that, you’ll perform several medical examinations, set up the X-ray machine, find medications, and carry out an intubation.

Silent Hill: Townfall – Jess beside a lightbulb icon with the text “Surgical Emergency” for the Chapter 3 walkthrough. — My Chapter 3 walkthrough guides you through “The Patient” and the surgical emergency in Silent Hill: Townfall. © S4G / Konami

In the “Many Into One” section, you need to explore different wards and match several blood bags to specific patients. At times, you’ll be pursued by an enemy you can’t simply take down. Distractions and a cautious approach are therefore especially important.

Go straight to the walkthrough: Silent Hill: Townfall – Chapter 3 “Many Into One” Walkthrough

The section concludes with one of the chapter’s most elaborate puzzles: You need to analyze medical records, match blood bags to the correct patients, and finally prepare the appropriate blood transfusion.

Silent Hill: Townfall – Simon standing next to three blood bags and a question mark asking, ‘Which bag fits?’. — Which blood bag is the right one? My guide explains the transfusion puzzle in Chapter 3. © S4G / Konami

Silent Hill: Townfall – Chapter 4 Walkthrough: Clara Woods

Chapter 4 sends you on an extensive search for several mechanical parts. Your starting point is the CEG employee lockers. Using different barcode cards, you can figure out which lockers you need and how to open them. Before you can do that, however, you’ll first have to search several apartments across St. Amelia.

Go straight to the walkthrough: Silent Hill: Townfall – Chapter 4 “Clara Woods” Walkthrough (work in progress)

Silent Hill: Townfall – Simon standing next to three mechanical parts and the caption ‘3 houses. 3 parts. 1 path.’ for Chapter 4. — My walkthrough for Chapter 4 shows you where to find the three mechanical parts in Clara Woods. © S4G / Konami

At 5 South Brae, you need to repair an old floppy disk; at 6 North Brae, a picture puzzle awaits; and at 5 Upper Brae, a few cassette tapes send you through space and time. Once you’ve found all the mechanical parts, you can finally open the strange lock on Atlas Way and reach CEG headquarters. There, you need to gain access to the security area and solve the puzzle involving the numbered briefcases.

Go straight to the walkthrough: Silent Hill: Townfall – Chapter 4 CEG HQ Walkthrough

Silent Hill: Townfall – Chapter 5 Walkthrough: Richard

Chapter 5 brings another change in perspective. You’ll need to gain access to CEG Headquarters and then explore the building. Along the way, you’ll come across a broken projector that kicks off the chapter’s main puzzle sequence.