How to solve the Silent Hill 2 Remake Hospital Combination Lock and X-Ray puzzle (2024)

How to solve the Silent Hill 2 Remake Hospital Combination Lock and X-Ray puzzle (1)

Jump to:

  • 3F Combination code
  • X-Ray Viewer puzzle

The code to the Silent Hill 2 Remake Hospital Combination Lock involves an X-Ray puzzle, with the reward for solving that problem being the combination lock code itself. We'll lay out the solution to both in our guide below, as well as what you'll encounter along the way.

Keep in mind that this won't be solved quickly if you want to do it as the game intends, and you're liable to come across a lot of dangerous opponents across the way. If you haven't found it yet, we definitely recommend getting the Silent Hill 2 Remake shotgun first. Otherwise, here's how to find the Hospital combination lock code and solve the X-Ray puzzle in the Silent Hill 2 Remake.

What's the Hospital Combination code in Silent Hill 2 Remake?

How to solve the Silent Hill 2 Remake Hospital Combination Lock and X-Ray puzzle (2)

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The code to the hospital combination lock in Silent Hill 2 Remake is 4-37-12 on normal puzzle difficulty. To enter it, turn the lock right, left, right to the three numbers, then press X to "Accept" (it can be a little hard to see the specific digits, so you might have to lean into the screen a little).

The code itself, however, is found by completing the X-Ray Viewer puzzle in the room across the hall. If you want to go through the steps needed to get the full experience, we'll go through it below - though keep in mind that this is a far longer puzzle than the Silent Hill 2 Remake hospital generator you needed to complete to get to this point.

How to solve the X-Ray Viewer puzzle in the Silent Hill 2 Remake

How to solve the Silent Hill 2 Remake Hospital Combination Lock and X-Ray puzzle (3)

The X-Ray Viewer puzzle in Silent Hill 2 can't be solved when you first find it, as you're missing several essential pieces. The X-Ray puzzle is all about arranging several radiograph X-Rays so that the markings on them reveal the combination to the lock, but you need all of them to reveal the full combination, and you'll have to find - and even clean - the radiographs first. To solve this puzzle, here's the full walkthrough.

How to solve the Silent Hill 2 Remake Hospital Combination Lock and X-Ray puzzle (4)

  1. After finding the X-Ray Viewer, immediately make sure you get the Radiograph of a Pelvis on the bed behind you in the same X-Ray Room.
  2. Get the Keypad Combination Note pinned to the notice board in the 1F Doctor's Lounge.
  3. Using this information, open the 2F Nurse's Station Keypad with the code 3578.
  4. Now you need to head through to the 2F Treatment Room next to the Nurse's office.
  5. In the bath in the corner you'll find the Moldy Radiograph. However, you can't use this in the puzzle yet.
  6. Head to the 1F Pantry, at the bottom of which you'll find a bottle of Mold Remover surrounded by bugs.
  7. Combine the Moldy Radiograph and the Mold Remover in your inventory to get the Cleaned Up Radiograph, showing somebody's hand.
  8. Now with all the Radiographs, head back to the 3F X-Ray Room and go into the viewer, then press "Inventory" to add them to the board.

How to solve the Silent Hill 2 Remake Hospital Combination Lock and X-Ray puzzle (5)

  1. Arrange them according to the pattern above to reveal the full combination code.

The key to solving the puzzle is using the little overlaid black marker scratches on both the board and the radiographs to work out where they go, rather than doing what I assumed was the point early on and making a coherent human being from the various X-Rays.

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How to solve the Silent Hill 2 Remake Hospital Combination Lock and X-Ray puzzle (6)

Joel Franey

Guides Writer

Joel Franey is a writer, journalist, podcaster and raconteur with a Masters from Sussex University, none of which has actually equipped him for anything in real life. As a result he chooses to spend most of his time playing video games, reading old books and ingesting chemically-risky levels of caffeine. He is a firm believer that the vast majority of games would be improved by adding a grappling hook, and if they already have one, they should probably add another just to be safe. You can find old work of his at USgamer, Gfinity, Eurogamer and more besides.

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