// t o t a l d a m a g e [tsr_10]

Learn how to achieve the 10-star ranking in Silent Hill 3 by limiting total damage received to under 500 points. Master blocking, enemy damage, and item usage.

This is perhaps the most difficult task in achieving a 10-star ranking, which is limiting total damage received to under 500 points. Since there are so many annoying and aggressive enemies that you will have to attack and expose yourself to reach the kill requirements, 500 points of damage can go by in a hurry if you haven't mastered combat, an even more specifically blocking, a hugely important aspect to a perfect ranking that was not a part of previous games.

To understand damage, most enemies deliver attacks that inflict anywhere from 5-30 points of damage. Larger enemies like the Closer can inflict even more, from 25-40 points, but these guys are slow enough that they shouldn't be a concern. Small enemies like Numb Bodies and Double Heads generally inflict around 5-10 per hit (while grab attacks can do up to 30 or more in a hurry if you're not quick to shake off), with others dishing out 10-20.

To stay on top of damage received, you can turn on the Life Display from the Extra Options once it's unlocked from completing the game on Hard Action Level. Note that a full health bar on Hard is 100 points, so use that as the basis. Additionally, Health Drinks, First-Aid Kits and Ampoules recover 25, 50 and 100 points respectively, so you can also go off this to keep track of your damage points by what you use to recover your wounds, within just a small margin of error.

While defeating enemies, the Handgun and Shotgun will be used most often. Always back up while firing the Handgun at oncoming enemies to keep your distance and stay out of their range, or sidestep accordingly with L1 and R1. With the Shotgun, you'll want to get close enough to maximize the power from its wide blast radius, but also be mindful not to get too close to receive an attack immediately after your blast. Try to find the sweet spot that leaves you out of range while delivering high power.

Understand that blocking attacks (R2 + Square) and also following up blocks with your own attacks is tremendously important throughout the game. Blocking most attacks prevents more than 99.5% of damage taken, leaving you with the tiniest sliver of damage and a great tradeoff to not only avoiding more but also being able to follow up with a shot, especially with the Shotgun. Equipping the Bulletproof Vest while blocking eliminates all damage entirely, making it ideal for situations where you'll be blocking on repeat. Note that some attacks, particularly heavy boss hits, cannot be blocked.

The Vest will otherwise prevent about 15% of damage when hit normally while wearing (without blocking), although it comes at the cost of mobility. While not always practical cause of it, it can be very handy in certain spots where speed isn't as much of a factor, especially where you plan to be blocking a lot to deal with enemies anyway.

Note that using Ampoules will also max your stamina for several minutes, giving you max running and attack speed. Thus they are very helpful for boss fights, specifically where you may be moving a lot or attacking with a melee weapon on repeat and thus able to attack faster.

Since you will be playing an Extra New Game, certain parts of the Underpass will decrease your health just by being inside them. Forget the enemies in these areas and immediately run to the destination to limit damage received, and do not heal until beyond these rooms to limit further damage (you cannot die and your life will simply remain at zero if depleted). Similarly, avoid the Nightmare Hospital 3F Storeroom entirely, which unlike the Underpass can actually kill you.