Silent Hill Townfall Blood Puzzle: All Bags, Locations, and Door Solution

Solve the Silent Hill Townfall blood puzzle with every blood bag location, valve route, transfusion match, and Ordell door combination.

Silent Hill Townfall Blood Puzzle: Quick Solution

The Silent Hill Townfall blood puzzle is a long Medical Center challenge that combines exploration, stealth, patient clues, and blood-type logic. It matters because the puzzle is not limited to one locked door: you must find five blood bags, use two of them to open the hospital wings, place the remaining three correctly, and then solve the final Ordell transfusion mechanism.

This Silent Hill Townfall blood puzzle guide gives you the complete route, including room numbers, master keys, valve locations, blood bag matches, and the final dial settings. The route also minimizes your time around The Weight, the nearly invincible enemy patrolling the medical center.

Spoiler warning: This guide covers the entire Medical Center section, including the final transfusion door and its solution.

Blood Bag Locations and Required Items

After entering the Different world and reaching the central room with the medical map, begin by checking the right-side corridor. The map and patient document identify the general locations of the bags, but the locked doors and one-way routes make the order important.

There are five blood bags in total. Alan Duncan and Lesley Greer’s bags open the two wings. Sarah Watson, George McEwan, and Matthew Clark’s bags are used in the final machines.

Blood bag	Location	Required item or route	Main purpose
Alan Duncan	Room reached through the eastern crawl space	Crawl through the vent from the last eastern room	Opens the west wing
Sarah Watson	Ward S, Room 05	No key required after entering the wing	Used in the central transfusion puzzle
Lesley Greer	Upstairs room above Room 13	Ward W Master Key and ladder	Opens the east wing
George McEwan	Room 10 on the lower floor	Drop through the collapsed passage	Used in the central transfusion puzzle
Matthew Clark	Room 03 after the elevator drop	Ward P Master Key	Used in the central transfusion puzzle

The room labels can be difficult to read while moving through the hospital. Keep the map open whenever The Weight is distant, and make a manual note of each room as you pass it. Saving at the central telephone after major progress is also worthwhile because a failed stealth section can otherwise force you to repeat several pickups.

First Bag: Alan Duncan

From the central map room, take the eastern corridor.
Enter the final door on the right.
Crawl through the passage into the adjoining room.
Collect Alan Duncan’s blood bag and the patient-location document.
Return to the central area and use the bag at the west-side transfusion machine.
Activate the machine to open the west wing.

The patient notes provide clues for later matching, so examine the bag or listen to its recording before moving on. You do not need to solve that clue immediately because Alan’s bag is consumed to unlock the wing.

Second and Third Bags: Sarah Watson and Lesley Greer

Once the west wing opens, enter Ward S and collect Sarah Watson’s bag from Room 05. This is the simplest pickup in the section and does not require a key.

Next, descend toward the lower floor and locate Room 04. The Weight begins appearing in this area, so use the radio or CRT display to track his position. Inside Room 04, collect the Ward W Master Key.

Use that key to enter Room 13. Climb the ladder to the upper room and collect Lesley Greer’s blood bag. A crawl space provides a safer return route to the central area. Place Lesley’s bag in the opposite transfusion machine to open the east wing.

Objective	Room or area	Action
Open west wing	Central room	Insert Alan Duncan’s bag and activate the machine
Collect Sarah’s bag	Ward S, Room 05	Pick up the bag beside the bed
Find west-wing key	Room 04	Collect the Ward W Master Key
Reach Lesley’s bag	Room 13 and upper room	Unlock Room 13, climb the ladder, and collect it
Open east wing	Central room	Insert Lesley Greer’s bag and activate the machine

East Wing Route for George and Matthew

The east wing is the most route-sensitive part of the Silent Hill Townfall blood puzzle. The Weight initially patrols the upper floor, which makes the lower floor relatively safer. Move quickly through the required rooms rather than searching every side room.

Start in Room 03 on the upper-right side of the wing. Use the passage at the back of the room to reach Room 02. Inside, interact with the elevator mechanism to send Matthew Clark’s blood bag down to the lower floor. You cannot collect it yet.

After activating the elevator, return to the hallway and locate the vent near Room 06. The entrance is along the outside wall by the stairs. Crawl through the passage, continue through the connected rooms, and look for the break in the floor. Drop through it to reach Room 10 below.

Room 10 contains George McEwan’s bag and the Ward P Master Key. Collect both items, then use the key to reach Room 03 on the lower floor. This is the room below the elevator. Matthew Clark’s bag will now be on the floor and ready to collect.

Step	Destination	What to do
1	Upper Room 03	Enter and use the rear passage
2	Room 02	Activate the elevator to drop Matthew’s bag
3	Hallway by Room 06	Find and enter the wall vent
4	Lower Room 10	Drop through the floor opening
5	Lower Room 10	Collect George’s bag and the Ward P Master Key
6	Lower Room 03	Unlock the room and collect Matthew’s bag

Collecting Matthew’s bag closes the gates and traps you in the wing. Two valves must be turned before you can leave.

Turning Both Valves

The first valve is in Room 05 on the upper floor. The second is in Room 10. The Weight returns during this sequence, so plan each move around his patrol.

A reliable approach is:

Hide until The Weight moves away from the valve room.
Enter and turn the valve.
Immediately move into a locker or another hiding spot.
Wait for his search behavior to settle.
Use a bottle or brick to create a distraction if the next route is blocked.
Reach the second valve and repeat the process.
Escape through the ladder on the left side of the upper floor.

Valve	Location	Recommended tactic
First valve	Room 05, upper floor	Enter when The Weight is distant, then hide immediately
Second valve	Room 10, upper floor	Distract him with a thrown object if necessary
Exit route	Left side of upper floor	Use the ladder after both valves are active

Player experience indicates that staying hidden for roughly one minute after activating a valve can help avoid an immediate chase and may also contribute to a hiding-related achievement. This timing is based on community reports rather than an official gameplay statement, so treat it as a practical tip rather than a guaranteed requirement.

Correct Blood Bag Placement

After escaping the east wing, return to the central room and place the three remaining bags into the machines. The patient charts describe symptoms indirectly, while the recordings or labels on the bags use similarly cryptic wording.

Face the large central door while matching the machines:

Machine position	Chart clue	Correct blood bag	Matching logic
Left machine on the left	Head injury or failed head function	Sarah Watson	Her clue indicates that her rhythm remains stable while her head does not
Right machine on the left	Confused speech but responsive movement	Matthew Clark	His words are disordered, but his body follows commands
Machine on the right	Severe burns across the body	George McEwan	His description refers to widespread burns and loss of cooling

Once all three bags are correctly placed, activate the central machine and choose the transfusion option. This opens the large door and leads to the final stage of the Silent Hill Townfall blood puzzle.

If the machine does not activate, check the bag positions rather than trying to rotate the final mechanism early. The game requires all three central matches to be correct first.

Final Ordell Blood-Type Door Solution

The last door displays patient initials around a circular dial. The center reads “Ordell,” referring to Simon Ordell, the playable character. His blood type is shown on the medical wristband available in your inventory.

Simon’s blood type is A+. The compatibility chart shows that the blood types that can be used for his transfusion are:

Compatible donor type for Simon’s A+ blood	Can connect to Ordell?
O-	Yes
O+	Yes
A-	Yes
A+	Yes
B-, B+, AB-, AB+	No

Inspect the blood bags in the central room to identify the relevant donors. The required compatible patients are:

Initials on final dial	Patient	Blood type	Connect?
TF	Thomas Fergusson	O+	Yes
HM	Hannah McGregor	O-	Yes
SW	Sarah Watson	A+	Yes
Other patient initials	Various	Incompatible types	No

The exact dial controls can vary slightly by platform, but the target configuration is consistent: only TF, HM, and SW should connect to the Ordell center panel. Rotate the three rings until those three lines reach the middle and every incompatible line is disconnected.

A commonly reported controller sequence is:

Select the outer ring.
Rotate it right twice.
Select the second ring.
Rotate it right once.
Select the inner ring.
Rotate it right three times.
Highlight the Ordell panel in the center.
Interact to begin the transfusion.

Because the dial can be affected by your current ring orientation, verify the visual result instead of relying only on the number of rotations. The goal is more important than the input sequence: TF, HM, and SW must be the only active connections.

For additional background on the room order and transfusion logic, see this VGC guide to the Ordell blood bag transfusion door puzzle.

Tips for Solving the Medical Center Section

The blood puzzle becomes much easier when treated as a route-planning challenge instead of a series of unrelated locks.

Save at the central telephone. Do this after collecting Sarah’s bag, after returning with Lesley’s bag, and after escaping the east wing.
Use the CRT or radio to track The Weight. His position is more important than his exact distance because he can turn a short interaction into an instant-death chase.
Avoid unnecessary exploration. Optional rooms may contain supplies, but searching them increases the chance of being detected.
Keep a written checklist. The important sequence is Alan, Sarah, Ward W key, Lesley, George, Ward P key, Matthew, two valves, then the three central placements.
Use distractions sparingly. Bottles and bricks are most valuable when they create a route to a valve or a ladder.
Inspect every bag. Blood type information is needed for the final Ordell dial, even though the first three placement matches are based on patient symptoms.
Confirm the final connections visually. The dial solution is correct only when TF, HM, and SW reach the center.

Common mistake	Why it happens	Fix
Searching for Matthew’s bag immediately	The elevator sends it downstairs first	Collect George’s bag and Ward P key before returning
Using the stairs after the vent section	The intended path is hidden beside the hallway	Find the vent near Room 06 and drop through the floor
Running directly after turning a valve	The Weight reacts to the noise	Hide immediately and wait for his search to end
Placing bags by name alone	The charts use indirect symptom clues	Match the recordings to the patient reports
Rotating the final dial randomly	The symbols appear overwhelming	Identify Simon’s A+ type and connect only TF, HM, and SW

FAQ

What is the Silent Hill Townfall blood puzzle solution?

The complete solution requires collecting five bags, using Alan Duncan’s bag to open the west wing and Lesley Greer’s bag to open the east wing, then placing Sarah Watson, Matthew Clark, and George McEwan’s bags in the correct central machines. The final door must connect TF, HM, and SW to Ordell.

Which blood bags are used in the central machines?

Sarah Watson’s bag goes in the leftmost machine, Matthew Clark’s goes in the adjacent machine on the left, and George McEwan’s goes in the machine on the right. Alan Duncan’s and Lesley Greer’s bags are consumed to open the two medical-center wings.

What blood type is Simon Ordell?

Simon Ordell has type A+, as shown on his medical wristband. The compatible donor types shown by the puzzle are O-, O+, A-, and A+.

How do you finish the Silent Hill Townfall blood puzzle door?

Set the final circular dial so only Thomas Fergusson, Hannah McGregor, and Sarah Watson connect to the Ordell center panel. Their initials are TF, HM, and SW. Interact with the center panel after confirming those are the only active lines.