Brookhaven Hospital is where the Silent Hill 2 remake really starts to test whether you're paying attention or just wandering aimlessly through the fog. Honestly, the jump from the relatively linear streets to this multi-floor maze is jarring. You’ve got Maria following you, half a dozen locked doors, and a growing suspicion that every mannequin in the hallway is about to twitch.
It's a lot.
If you’re stuck on the silent hill 2 walkthrough hospital section, you aren't alone. Between the nurse padlock, the three bracelets, and that nightmare-inducing basement generator, there are about a dozen ways to hit a wall. Here is the actual, no-nonsense path through both the "normal" and Otherworld versions of Brookhaven, focusing on the stuff that actually trips people up.
The First Floor: Keys, Codes, and Counting Trees
When you first walk in, grab the map from the rack in the lobby. You’ll see Laura—the bratty kid who’s seemingly immune to the monsters—run off toward the second floor. You can’t follow her yet because the door is locked. Typical.
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Head into the Reception Office. There’s a note on the bulletin board about a key locker. This is your first major hurdle. To get that locker open, you need a three-digit code. Most people wander around the lobby looking at the photos on the walls, but the game is actually asking you to do some math based on the Nurse’s Memo found in the desk between Examination Rooms 2 and 3.
The Reception Padlock Codes
The solution changes based on your puzzle difficulty setting. Don't just guess; the logic is tied to the photos of nurses, doctors, and trees in the lobby.
- Light Difficulty: 287
- Standard Difficulty: 724
- Hard Difficulty: 152
Hard mode is particularly annoying here. "The first was singular" means 1. The nurse count minus "the fraud" and one more gets you to 5. The trees halved? That’s 2. Once you punch this in, you get the Basement Key.
The Basement Generator
The basement is pitch black and crawling with Lying Figures. Your goal is the Generator Room (03). You’ll quickly find out the generator is out of gas. You need two things: an empty fuel can and a way to fill it.
- Find the Empty Fuel Can in the Boiler Room (010) in the southwest corner.
- Go to the Laundry Storage (05) and push the laundry cart under the high window to climb into the Storage Room (09).
- Fill the can at the large fuel tank there.
Take it back, fill the generator, and flip the switch. Now the elevator works. This is your ticket to the upper floors and the real meat of the hospital’s puzzles.
The Director’s Office and the Bracelet Hunt
Once you take the elevator to 2F, you’ll realize the Director’s Office is the hub for everything. There’s a plastic hand on the desk that needs three bracelets. This is where the silent hill 2 walkthrough hospital gets complicated because these items are scattered across different floors.
1. The Marked Bracelet
Go to the Nurses' Lounge on 2F and grab the L1 Room Key. Use it to enter Room L1, move the trolley to reach the window, and drop down to a fenced-off area on 1F. Crawl through the vent to find the Medical Records room. The Marked Bracelet is right there.
2. The Bloodstained Bracelet
This one requires some inventory Tetris.
- In the Women’s Locker Room (2F), interact with the teddy bear to get a Bent Needle. Also, grab the Shotgun from the open locker. You’re going to need it.
- Go to the Pharmacy (1F) and jump out the window into the Garden.
- Head to the Shower Room in the Pool area to find a Medical Tube.
- Combine the Bent Needle and the Medical Tube in your inventory.
- Go back to the Pharmacy and use your new "fishing tool" on the floor drain to get the Maintenance Key.
- Use that key to drain the pool. Smash the brick wall with the eye symbol inside the pool to find the Bloodstained Bracelet.
3. The Filthy Bracelet
Head to the 3F X-Ray Room. You need to find two missing radiographs to complete the puzzle here. One is in Exam Room 4 (behind a breakable window), and the other is the Moldy Radiograph found in the 1F Kitchen (you’ll need the Mold Remover from the 2F treatment room area to clean it).
Arrange the X-rays on the lightbox to reveal the code: 4, 37, 12. Use this on the D1 combination lock (Right 4, Left 37, Right 12) to get the Filthy Bracelet.
Solving the Hand Puzzle
Back in the Director's Office, place the bracelets on the hand from top to bottom: Bloodstained, Marked, Filthy. Rotate them so the numbers 92, 45, and 71 line up. This gives you the Director's Storage Room Key. Inside that room, you’ll find a safe button and a book puzzle. Rearrange the books to form a lion, which gives you the symbols for the safe code.
The Safe Code is 92-45-71, but you have to input the corresponding symbols. This nets you the Rooftop Key.
The Flesh Lip Boss and the Otherworld Shift
Going to the rooftop is a trap. Always has been. After a brief "interaction" with Pyramid Head, you’ll be thrown into a boss fight with Flesh Lip in a small room.
Tactics for Flesh Lip:
Phase one is all about the ceiling. Look for the shaking tiles. When it drops, dodge and blast it with the shotgun. If you're on Hard difficulty, save your ammo and use the steel pipe when it's stunned on the ground. Once it starts walking on its "legs" in phase two, keep your distance. It has a scream that stuns James—if you see it reeling back, start backing up immediately.
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After the fight, the hospital shifts into the Otherworld. Everything is rust, blood, and even more confusing.
Navigating the Otherworld Hospital
The Otherworld hospital feels like a fever dream, but it's actually just one giant puzzle involving a Chained Box in the 2F Nurses' Station. You need two codes and a key to open it.
The Lapis Eye Key
Go to the 3F and find the Instrument of Force in Exam Room 4. Use it on the mannequin’s arm. Then, find the Key of Bliss in the basement (reach it via a ladder in a hidden room behind a breakable wall on 2F). Use the Key of Bliss on the mannequin to pop out the Lapis Eye Key.
The Keypad and Calendar Codes
- The Code for the Keypad: Head to the 3F "I" rooms. You’ll find a generator that needs to be turned on. Once powered, go to the electroshock therapy room (I7) and hit the switch. The sparks will burn the code 9659 into the bed.
- The Combination Lock: In room M2, read the diary page. It mentions pills, flickering lights, and a clock.
- Count the pills in the sink (often 1 or 2).
- Watch the flickering light through the peephole (usually 6).
- Check the clock time you set earlier.
- The standard code is 1622.
Punch all three into the chained box to get the -1 Elevator Button. This allows you to go to the basement for the final chase sequence.
Dealing with the Maria Elevator Quiz
On your way down, the elevator radio will suddenly turn on for "Trick or Treat." This is a classic Silent Hill moment. You have to answer three questions based on your exploration of the town.
- Question 1: What was the name of the park? (Answer: Jack’s Inn - wait, no, it's Lakeside Amusement Park's location, but the specific answer is Rosewater Park).
- Question 2: How many victims did Billy and Miriam Locane have? (Answer: Two).
- Question 3: What is the name of the road leading out of town? (Answer: Nathan Avenue).
If you get these right, you can collect a reward in the Decorative Room on 1F later. If not... well, you just miss out on some supplies.
Key Takeaways for Survival
- Don't hoard health drinks. The hospital is stingy with ammo but generous with heals. Use them if your screen is pulsing red.
- Stomp everything. Nurses and Mannequins will get back up if you don't finish them with a kick while they're down.
- Check your map constantly. If a room is shaded red, there’s still an item or clue inside. If it’s white, you’re done.
- The Shotgun is for Nurses. Use the handgun for Lying Figures, but when three Nurses corner you in a dark hallway, the shotgun is the only thing that will create space.
Your next move should be focusing on the Historical Society once you leave the hospital grounds. Make sure you've grabbed the Strange Photos hidden in the hospital rooms (like the one in the 1F Restroom) before you trigger the final cutscene with Laura in the basement, as you can't come back once the hospital section is fully cleared.