East South Vale (Otherworld)

A complete walkthrough for East South Vale (Otherworld) in Silent Hill 2 (Remake), detailing enemy encounters, item locations, and progression through the area.

As you exit the Brookhaven Hospital (Otherworld), you'll remain in the Otherworld. Head down the steps and to the left to find an ambulance. Near the ambulance, you can find a syringe and a health drink. Be aware of Bubble Heads lurking nearby, which you must defeat before collecting the items. Also, watch out for Creepers. After dealing with them and collecting the items, proceed to the SUV to the left of the ambulance. A Lying Figure Variant will be crawling around it; be cautious. A box of ammo is located in the passenger seat of the SUV. From the ambulance and SUV, head south on Carroll St. On the same side as the hospital, you'll find a truck. A Mannequin will be behind the truck. Near the back of the truck, on some crates, is another box of ammo.

Once you have that, head across the street towards Heaven's Night. As you approach the delivery vehicle, a Bubble Head will emerge from in front of it. Defeat it, then continue until you reach a blocked area. You can bypass this using a door. Be mindful of a Mannequin to the left of the door after passing through. To the right of the door, look at the station wagon; a box of ammo is in the back. Smash the rear window to retrieve it, but be aware of a Creeper. Near Heaven's Night, a Lying Figure Variant will be under the walkway. If you head in the opposite direction of Heaven's Night, you'll eventually see a Mannequin walking left towards a small garage.

Follow the Mannequin into the garage, and be cautious of another Mannequin inside. Defeat both and check the desks; one contains shotgun shells, and the other has a box of handgun ammo. Exit the garage and head back towards Heaven's Night. At the end, turn left towards a parked car facing a larger garage. Enter this garage, but be prepared for a Bubble Head. After defeating it, check the far locker on the left side where you entered for a box of ammo. Enter the room the Bubble Head came from; you'll find a breakable wall. Be wary of a Mannequin to the left of the entrance. Defeat it to find a box of shotgun shells in the green desk. Smash the wall and go through the opening to the next area; you cannot return.

In this new area, you'll find a save point. On the shelf to your right upon entering is a box of ammo. To the right of the save point, another shelf holds a box containing a syringe. Proceed through the door near the save point. On the other side, you'll catch a glimpse of Laura. Continue through the gate ahead, where a Mannequin will be near a board leaning against the building to your right. Further on, a Bubble Head will appear from the left near the walkway. As you approach the Bubble Head, watch out for another nearby Mannequin.

On the other side, where you last saw Laura, head up the stairs to the right, but be aware of a Creeper. Near the door at the end, to the right near the dumpsters, is a box of ammo. Return to where Laura was last seen. Grab the nearby cart and move it to the gate door. Use the cart to go over the gate. On the other side, proceed to the end of the alley until you reach a large open area. Across the road, you'll see a truck. Go to it and find a box of ammo on the back driver's side tire on Rendell Street. To the left, you should see the Lakeside Diner.

If you stay on the left side of the road near the alley, the first house you encounter has another box of ammo on a shelf. In this vicinity, you'll face two Bubble Heads before heading to the diner. As you attempt to enter the diner, be cautious of a Lying Figure Variant. Head in the direction it came from until you reach two cars; the one on the right has a health drink in the back seat. After grabbing it, enter the diner. Inside, you'll encounter a Creeper, a Bubble Head, and a Lying Figure Variant. Behind the counter on a shelf are shotgun shells. A box of ammo is in a drawer near the other side of the counter. Before exiting, grab the box of ammo on the table near the jukebox. A Mannequin might attack just before you leave.

Heading to the tunnel

Exiting the diner, head down the stairs towards the school bus and big rig. Go between them, but be wary of a Bubble Head and a potential Lying Figure Variant. On the tailgate of the truck near the big rig is a box of ammo. To the right of the tailgate, on a barrel, are shotgun shells. Exit through the gate near the rear of the bus. Head left until you reach a station wagon with a box of ammo in the driver's seat. Return towards the gate you exited from, but go right. You'll reach the second house on the left, which has a health drink on the window sill next to the door. Continue on that side of the street until you reach a house with an SUV with its lights on. Head up the porch, and to the right at the top is a box of ammo.

Head back down the steps towards the SUV and to the other side of the road. Proceed until you reach a bend that goes right, where you'll eventually see Laura again around the corner heading through a door. Enter this door and follow it until you reach your objective. During this passage, you'll witness something, but it will not attack you. Upon reaching a door on the other side, there'll be a...