Silent Hill Townfall Part 3: The Patient Walkthrough

A practical Part 3 route covering Chapters 7-8, the Medical Center sweep, X-ray setup, blood-bag logic, and The Patient surgery.

Silent Hill Townfall Part 3 overview

Part 3, The Patient, covers Chapters 7 and 8 in the Medical Center and its Otherworld version. It is more linear than the town sections, but several items become unavailable after you move deeper into the building, so sweep each floor before taking the next stairs.

Part 3 detailWhat to remember
Chapters7-8
Main areaSt. Amelia Medical Center
Critical itemMedical Wristband
Main puzzlesX-ray, medicines, blood bags, and the final patient connection
Best habitSearch each floor before crossing the next transition

Chapter 7: sweep the Medical Center

Start by following the main route through the Medical Center. Read desks, counters, staff rooms, and patient areas before moving upward. The game uses medical records and equipment as both route clues and story evidence, so a document that looks optional may explain a later patient interaction.

Chapter 7 checklist

  1. Search the entrance and reception areas.
  2. Read patient records and staff notes.
  3. Check side rooms for supplies and route items.
  4. Inspect the medical equipment before climbing farther.
  5. Collect the Medical Wristband and confirm it is visible in Equipment.
  6. Save before entering the next Otherworld transition.

The Medical Wristband matters later because it supplies Simon's blood type for the final blood puzzle. Do not assume the information is only story flavor.

The X-ray room

The X-ray room is opened with code 7103 during The Patient sequence. Use the X-ray room guide for the full camera settings, but the route order is:

  1. Finish Dr. Glenn's initial instructions.
  2. Enter the X-ray room with 7103.
  3. Scan the patient's skull.
  4. Change the target to the chest and complete the second scan.
  5. Place both scans on the operating-room lightboard.
  6. Read the new diagnosis clues before searching for medicines.

If the X-ray controls do not respond, check that the patient conversation and pager trigger are complete. The code alone does not activate the room before the route has advanced.

Find the medicines

After the scans, return through the Medical Center and collect the medicines requested by the treatment sequence. The supplies are distributed across the Pharmacy Store, infusion areas, and Records Room rather than placed beside the operating table.

Medicine or itemRoute clue
TensobromideSearch the Pharmacy Store in Victoria Ward
DextracyclateCollect it from the infusion machine at Bay 6
HydroxaleneFollow the access clue toward the Records Room
Intubation kitCall the correct hospital storage line from reception
Medical WristbandUse it to identify Simon's blood type

When a treatment step seems stuck, return to the operating room and read the latest instruction again. The game often updates the objective only after you have inspected the correct image, machine, or patient record.

Chapter 8: the blood-bag puzzle

The Otherworld Medical Center changes the route into a patient and blood-bag investigation. Collect the bags and read their recordings or labels before placing them. The patient descriptions are indirect, so matching only by a name or color can lead to a wrong placement.

The safest order is:

  1. Check the medical map in the central room.
  2. Search the reachable wards and collect the first bags.
  3. Read each patient's description and recording.
  4. Use the bags needed to unlock the next wing.
  5. Return to the central room with the remaining bags.
  6. Use the Medical Wristband to confirm Simon's blood type.
  7. Match the final donor initials on the Ordell dial.

For the complete placement sequence, open the blood puzzle guide. If a door is inactive, you likely missed a bag, map interaction, or patient recording rather than entered the wrong answer.

Finish The Patient surgery

Return to the operating room after collecting the medicines. Load each pump, set the rates requested by the instructions, and confirm the controller reports that the equipment is ready. Then use the intubation kit and complete the timed final interaction.

StageAction
DiagnosisReview the skull and chest scans
CollectionFind all three medicines and the treatment kit
PreparationLoad the pumps and set the requested delivery rates
ConfirmationCheck the controller beside the patient's bed
Final stepUse the kit and hold the control steady during the vibration prompt

The sequence is easier when you treat each instruction as a checklist. Do not spend medicines before the operating-room prompt tells you which stage is active.

Common Part 3 mistakes

ProblemFix
You cannot open the X-ray roomAdvance Dr. Glenn's dialogue and check the pager trigger, then use 7103
A medicine is missingSearch the Pharmacy Store, Bay 6, and the Records Room
The blood puzzle will not progressRecheck the map, recordings, and Medical Wristband
The surgery controller is inactiveLoad all required medicines before returning to the controller
You missed a documentReload the last floor save; later transitions can block the return route

For the complete campaign route, use the full game guide. For quick puzzle answers, use Townfall codes and passwords.

FAQ

What chapters are in Silent Hill Townfall Part 3?

Part 3, The Patient, covers Chapters 7 and 8 and takes place in the Medical Center and its Otherworld version.

What is the Silent Hill Townfall X-ray room code?

The X-ray room code is 7103, but the room only becomes active after the relevant patient and pager sequence.

What should I collect before leaving the Medical Center?

Collect the Medical Wristband, read the patient records, search the available supplies, and save before entering the Otherworld transition.