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Chapter Five: Alchemilla Hospital
Silent Hill

Chapter Five: Alchemilla Hospital

Explore Alchemilla Hospital in Silent Hill. Find the Basement Key, restore elevator power, and uncover the mystery of the 4th floor.

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Explore Alchemilla Hospital in Silent Hill. Find the Basement Key, restore elevator power, and uncover the mystery of the 4th floor.

Walkthrough
  1. 1
    Enter Alchemilla Hospital through the double doors on the right.
  2. 2
    In the lobby, find the hospital map on the bulletin board and a notepad to save your game.
  3. 3
    Follow the hallway to the only unlocked door, the Examination Room.
  4. 4
    Inside, you will encounter Dr. Michael Kaufmann. After a conversation about the town and your wife, he leaves.
  5. 5
    Go through the door on your left, behind the receptionist desk, and grab the First Aid Kit.
  6. 6
    Return to the Examination Room and go through the door on your right into the Medicine Room.
  7. 7
    Find a newspaper; an article will be missing.
  8. 8
    Exit through the far door to the east wing. Find an unlocked door in the right-hand corner leading to a doctor's office.
  9. 9
    Pick up the map for the hospital's basement in the doctor's office.
  10. 10
    Go through the wooden door to the south into the conference room and take the "Basement Key" from the table.
  11. 11
    Return to the hallway and enter the kitchen through the nearest double doors. Pick up a plastic bottle from the counter.
  12. 12
    Leave the kitchen and enter the Director's Room (the next door on your right).
  13. 13
    Examine the items on the other side of the desk and pick up the glass vial with a substance.
  14. 14
    Use the plastic bottle to collect the remaining substance from the vial.
  15. 15
    Leave the Director's Room; the elevator is out of power.
  16. 16
    Use the "Basement Key" on the door to the right of the elevator to access the basement stairs.
  17. 17
    Head down the stairs to the basement, being cautious of cockroaches at the bottom.
  18. 18
    Enter the Generator Room (the next door from the stairway). Turn on your flashlight.
  19. 19
    Investigate the open panel on the generator to restore power to the elevators.
  20. 20
    Return to the first floor via the stairs or elevator. Save your game at the reception desk.
  21. 21
    Use the elevator in the west wing to attempt access to floors 2 and 3.
  22. 22
    After exploring floors 2 and 3, return to the elevator. A mysterious 4th floor option will appear on the panel.
  23. 23
    Take the elevator to the mysterious 4th floor.
  24. 24
    Upon exiting the elevator, you will see a girl in blue enter an antique shop.
  25. 25
    Find and go through a set of double doors into a dimly lit hall. These doors will lock behind you.
  26. 26
    Proceed to the far end of the hall; visibility is zero without a flashlight. The doors here will also lock.
  27. 27
    Turn on your flashlight and take the stairs down to the third floor at the far end of the hallway.
  28. 28
    Go through the double doors at the bottom of the first flight of stairs on the third floor.
  29. 29
    Defeat the zombie nurse and head to the bathroom.
  30. 30
    On the windowsill in the bathroom, find and take the "Plate of the Turtle".
  31. 31
    As you leave the bathroom, you will hear something break.
  32. 32
    Go to room 301 and enter. You will find an empty birdcage.
  33. 33
    Leave room 301 and find the second door on your left, which is room 302, the AV room.
Tips
  • The map of the hospital layout is found on the bulletin board in the lobby.
  • A notepad for saving your game is also located in the lobby.
  • The map for the hospital basement is found in the doctor's office.
  • The "Basement Key" is located on a table in the conference room.
  • A plastic bottle can be found in the kitchen and is used to collect a substance from a glass vial in the Director's Room.
  • Cockroaches are present at the bottom of the basement stairs.
  • The generator is located in the Generator Room in the basement.
  • The mysterious 4th floor becomes accessible after attempting to use the elevator on floors 2 and 3.
  • The "Plate of the Turtle" is found in the bathroom on the third floor.

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