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Items
Health Items
Just like the first two Silent Hill games, there are three kinds of Health items.
Ampoule
Healing Power: 100%
Availability: Rare
This fully restores any health problems Heather is faced with. Even if she's one hit from dying, this will fully restore her strength.
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First Aid Kit
Healing Power: 50%-75%
Availability: Uncommon
This will restore a lot of Heather's damage status, and these are pretty plentiful. Save these for when Heather is in deep trouble.
Health Drinks
Healing Power: 25%-40%
Availability: Common
This will restore bits of health to Heather, but not too much. Plenty of these are available in the game and should be used after two to three hits from smaller monsters.
Quest Items
There are many items throughout Silent Hill that all play some role to help Heather progress. This is an extensive listing of all the quest items seen in the game. These are quest items. All items found frequently (ammo, medical supplies) are all found in the Weapon and Health section.
Shopping Mall
Shopping Center Map
- Found: Employee Hallway 2, Shopping Mall
- Description: This is a map of the Shopping Mall. This helps Heather guide her way around the mall. It should be used as a reference when Heather is lost.
Tongs
- Found: Helen's Bakery, Shopping Mall
- Description: These Tongs are used to acquire the KEY TAKEN WITH TONGS in the Storeroom at the Shopping Mall.
Key Taken With Tongs
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- Found: Storeroom, Shopping Mall
- Description: This key unlocks the store "My Bestsellers" in the Shopping Mall.
Shakespeare's Anthology (Vol. I-V)
- Found: My Bestsellers, Shopping Mall
- Description: These books go into the empty bookshelf in My Bestsellers. If they are aligned correctly, they contain the code to unlock the back door of the bookstore.
- Riddle Mode Note: On Easy, there are 2 books to be found. On Normal and Hard, there are 5 to be found.
Radio
- Found: Elevator, Shopping Mall
- Description: Gives a signal whenever monsters are nearby. Volume can be adjusted, or turned off completely.
Alternate Shopping Mall
Flashlight
- Found: Light Storeroom, Alternate Shopping Mall
- Description: Lights up dark areas in the game.
Bleach (Normal/Hard Riddle Only)
- Found: Woman's Bathroom, 1F
- Description: Mixes with the Detergent to defeat bugs in Bug Room.
Hanger
- Found: Clothing Store
- Description: Hooks onto ladder in Happy Burger to get Heather to the mall's third floor.
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Bulletproof Vest
- Found: Clothing Store
- Description: Heavy armor which makes Heather move slower, but protects her from heavy damage.
Walnut
- Found: Jewelry Store
- Description: Once cracked with the nutcracker in the Nutcracker Room, it contains the Moon Stone.
Cooked Key
- Found: Restaurant 3F
- Description: Unlocks a door in 2nd Employee Hallway Room 2F which leads to the Cafe 2F.
Moon Stone
- Found: Nutcracker Room, after cracking the Walnut
- Description: Unlocks the door on the mall's third floor with the moon engraving.
Detergent (Normal/Hard Riddle Only)
- Found: Helen's Bakery
- Description: Mixes with the Bleach to defeat bugs in Bug Room.
Subway
Subway Map
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- Found: Boarding Area 2
- Description: A map for the subway area.
Nutcracker
- Found: East Subway Tunnel BF
- Description: A different nutcracker than the one for the Walnut. This unlocks a screw nut which is locking a door to Platform 2.
Shotgun
- Found: Train
- Description: A powerful, wide range weapon.
Underpass
Underpass Map
- Found: U.P. Storeroom
- Description: Map for the Underpass area.
Maul
- Found: U.P. Storeroom
- Description: A heavy, slow and clumsy melee weapon with spikes on it.
Wine Bottle
- Found: Dead End Tunnel
- Description: Fills with oil in the U.P. Office.
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Oil-Filled Bottle
- Found: U.P. Office, after filling the Wine Bottle with oil
- Description: Fills up engine in U.P. Engine Room to drain water blocking the ladder in the room.
Dryer
- Found: U.P. Storeroom 2
- Description: Plugs into outlet in U.P. Tunnel 14 which then zaps the lurking creature in the water.
Hilltop Center
Office Building Map
- Found: Monica's Office
- Description: A map for the Hilltop office center.
Rope
- Found: Monica's Office, in the drawer near the save spot
- Description: Let's Heather climb down the elevator shaft; Screwdriver needed to access in Normal/Hard Riddle.
Screwdriver (Normal/Hard Riddle Only)
- Found: Gallery of Fine Arts, on top of the boxes
- Description: Used to open drawer in Monica's Office near the save spot to access the rope.
Katana
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- Found: Katana Room
- Description: A 2 foot-long sword which is good for attacking enemies while saving ammo.
Jack
- Found: KMN Office
- Description: Opens up the partially open elevator in the 3F Center Hallway.
Alternate Hilltop Center
Oxydol
- Found: Closet Room, after meeting Vincent
- Description: One of three items needed to burn the red painting in the Gallery Room.
Pork Liver
- Found: Restaurant
- Description: One of three items needed to burn the red painting in the Gallery Room.
Matchbook
- Found: Matchbook Room
- Description: One of three items needed to burn the red painting in the Gallery Room.
Coin
- Found: Money Room
- Description: Used on the vending machine in the same room.
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Life Insurance Key
- Found: Money Room, after using the Coin on the vending machine.
- Description: Opens up the door to 1F Left Hallway.
Daisy Villa Apartments
Stungun
- Found: Heather's Bedroom, in Harry's Apartment
- Description: A weapon which electrocutes enemies at close range.
Brookhaven Hospital
Nail Polish Remover
- Found: Woman's Locker Room, Brookhaven Hospital
- Description: Removes the Stairwell Key from the wall in C4.
Perfume
- Found: Woman's Locker Room, Brookhaven Hospital
- Description: Causes Heather to smell so bad that monsters start coming after her more often.
Stairwell Key
- Found: C4, after using Nail Polish Remover, Brookhaven Hospital
- Description: Unlocks stairwell.
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Instant Camera
- Found: M4, Brookhaven Hospital
- Description: Using it gives Heather a code to unlock the 3F S Hallway.
Alternate Brookhaven Hospital
Plastic Bag
- Found: Woman's Locker Room, Alternate Brookhaven Hospital
- Description: Holds blood which is used on the altar above Leonard.
Cremated Key
- Found: B3 Basement, Alternate Brookhaven Hospital
- Description: Unlocks the door leading to the Day Room 1F.
Seal of Metatron
- Found: Cut-scene after defeating Leonard, Alternate Brookhaven Hospital
- Description: Used only in a cut-scene.
Amusement Park Revisited
Roller Coaster Key
- Found: Amusement Park Store, Amusement Park
- Description: Unlocks the door leading to the roller coaster control room.
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Chain
- Found: Amusement Park 5, Amusement Park (room with the stage)
- Description: It hooks onto the rocket ride and the locked door in Amusement Park 4 to unlock the locked door.
Red Shoe
- Found: Amusement Park 5, Amusement Park (room with the stage)
- Description: Used on the Cinderella statue after meeting with Douglas.
Doll Head
- Found: Fortune House, Amusement Park
- Description: Used on the Snow White statue after meeting with Douglas.
Church
Eye of Night Tarot Card
- Found: Chapel, Church
- Description: It is used to help unlock the door in Alessa's Bedroom.
Cassette Tape
- Found: Bedroom A, Church
- Description: Used to hear a conversation with Vincent.
Moon Tarot Card
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- Found: Church Library, Church
- Description: It is used to help unlock the door in Alessa's Bedroom.
Otherworld Laws Book
- Found: Church Library, Church
- Description: Given to Heather by Vincent. It serves no other purpose in the game.
Hanged Men Tarot Card
- Found: Morgue, Church
- Description: It is used to help unlock the door in Alessa's Bedroom.
Fool Tarot Card
- Found: Alessa's Hospital Room, Church
- Description: It is used to help unlock the door in Alessa's Bedroom.
Brass Key
- Found: Alessa's Bedroom, Church
- Description: Unlocks the locked door in the Chapel Hall.
High Priestess Tarot Card
- Found: Claudia's Bedroom, Church
- Description: It is used to help unlock the door in Alessa's Bedroom.