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In the Operation Theatre Balcony, examine the PATIENT'S CHART on the shelf.

Run to the far end of the balcony and step down the stairs to the right.

Move along the right side of the walkway, turn off your flashlight, and choose to "Drop Down" at the end where there is no railing.

In the Operation Theatre, ensure your flashlight is off. Listen to the radio static for nearby enemies.

Turn around to face a Nurse near the operating table. There are three Nurses total on the east side of the table. If fighting, use a charged strong attack. You can lure them by standing still with the light off.

Be careful not to bump into objects, as this will alert the Nurses.

Examine the double doors to the Operating Room; they are chained shut.

Turn east, cut the skin wall with your combat knife, and squeeze through the opening.

In the East Staircase area, pick up the CHILD'S DRAWING (2/18) from the wall opposite the skin wall.

Move up the stairs and examine the body on the gurney. Take the ++OPERATING THEATRE KEY++ from its hand.

Go back down the stairs and squeeze through the wall again.

In the Operation Theatre, approach the chained doors to the Operating Room. Press LB when the icon appears, select the Operating Room Key, and use it to unlock the chain.

Open the doors and enter the Operating Room.

Examine the ELECTROSHOCK NOTE on the counter.

Open the door to the hallway. A cutscene will play where you can choose dialogue options with Josh. These choices do not affect the outcome or ending.

Objective Update: Find Joshua's Toy.

Open the door to the left of the gate.

In the Nurse Center, take the HEALTH DRINK from the shelf and save your game at the SAVE POINT.

Examine the MISSING PATIENT BULLETIN on the left side of the controls by the window.

Exit through the south door into the hallway.

Enter Room 203, the only door that can be opened.

Walk toward the bloody mirror and examine it. Keep tapping the button prompt to break free from the grip and retrieve the ++ROBBIE TOY++.

Objective Update: Return the toy to Joshua.

A Swarm will emerge from an incubator after you take the toy; be prepared to fight them.

Pick up the CHILD'S DRAWING (3/18) from the wall to the right of the mirror.

Return to the Hallway Outside Operating Room via the east end of the Nurse Center, saving your game along the way.

Approach Josh at the gate, open your inventory, select the Robbie Toy, and give it to him. A cutscene will play.

Walk through the now open gate and pick up the CHILD'S DRAWING (4/18).

Most doors down the hall are locked. Enter Room 206, which is open. The door will shut as you approach it.

Take the CHILD'S DRAWING (5/18) from the front of the Room 206 door.

Continue down the hall to the elevator. Press the call button on the left wall to trigger a cutscene.