Although this is as spoiler-free guide to the puzzles and their solutions as we can manage, please know that reading this page before completion could well ruin the game for you. Do yourself a favour: only read this if you’re really stuck and even then, only when you’re desperate. Silent Hill’s not Silent Hill without these puzzles!

Keypad Puzzle | Bookshelf Puzzle | Graveyard Sliding Puzzle | Fusebox Puzzle | Police Locker Puzzle | Hell’s Descent Fan Puzzle | Shepherd House Sliding Puzzle | Shepherd House Clock Puzzle | Shepherd House Mask Puzzle | Shepherd House Knives Puzzle | Shepherd House Medal Puzzle | Water Company Valve Puzzle | Fusebox Puzzle 2 | Keypad Puzzle 2 | Penitentiary Puzzle | Church Plate Puzzle | Rotating Floor Puzzle | Rotating Door Puzzle

Hospital Keypad Puzzle

Solution: First Half of Code – go to the Nurse Center and examine the X-Ray board to see the numbers 624. Second Half of Code – In room 204, pick up the X-Ray film and bring it back to the Nurse Center.  Put it on the X-Ray board and it reveals the numbers 872. Final solution – punch 624872 into the keypad.
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Bookshelf Puzzle

Solution: Using the analog sticks, push all of the books to the left side of the shelf. A button will be revealed on the right, push it.
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Graveyard Sliding Puzzle

Solution:
– Move the 1x1 tile on the top row all the way to the left;
– Move the top horizontal tile over to the right then all the way up;
– Move the remaining horizontal tile underneath the initial horizontal tile;
– You may then slide the key downwards.
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Fusebox Puzzle

Solution: Imagine that each node on the fusebox is numbered from 1 to 5 from the left to right, so the far left node is 1 and the far right node is 5.
– Red wire: Goes to 3 on the top and 4 on the bottom;
– Yellow wire: Goes to 1 on the top and 2 on the bottom;
– Blue wire: Goes to 4 on the top and 3 on the bottom;
– Green wire: Goes to 5 on the top and 5 on the bottom;
– White wire: Goes to 2 on the top and 1 on the bottom.
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Police Locker Puzzle (Optional)

Solution: Find the memo that says “Only time will tell who has the will to live”. This is a hint to look at the clock. The time on the clock is 2:06. Enter 206 into the police combo box.
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Hell’s Descent Fan Puzzle

Solution: Trial and error. Flip the switches for fans in this order: 4/5 : 3/4 : 5/6 : 4/5 : 2/3 : 3/4
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Shepherd House Sliding Puzzle

Solution:
1) Move the top-right double piece one space to the left.
2) Move the second piece in the third row one space down.
3) Move the third piece in the third row one space to the left.
4) Move the double piece on the far-right in the center one space up.
5) Move the bottom-right double piece one space up.
6) Move the second piece in the fourth row two spaces to the right.
7) Move the first piece in the fourth row two spaces to the right.
8) Move the second piece in the third row one space down.
9) Move the second double piece in the third row one space to the left
10) Move the center double piece on the left side one space down.
11) Move the first piece in the first row one space down.
12) Move the double piece on the top far-right one space down.
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Shepherd House Clock Puzzle

Solution: As indicated by the time all around the house, the solution is 2:06.

NOTE: The Shepherd House is prone to many glitches, and one of them involves this puzzle. If you have saved and turned off the game or messed too much with any other puzzles, the solution will not be 2:06 and the solution is random. Sorry …
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Shepherd House Mask Puzzle

Solution: Front – Indifferent Mask / Back – Frowning Mask
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Shepherd House Knives Puzzle

Solution: The Butcher Knife goes on the top left, the Cleaver goes on the bottom right, and the Bogeyman Knife goes in the head.
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Shepherd House Medal Puzzle

Solution: The Fallen Star medal goes on the left, the Heart of Darkness medal goes in the middle, and the Vile Acts medal goes on the right
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Water Company Valve Puzzle

Solution: Turn valves B, A, then C
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Fusebox Puzzle #2

Solution: Imagine that each node on the fusebox is numbered from 1 to 5 from the left to right, so the far left node is 1 and the far right node is 5.

Red wire: Goes to 5 on the top and 1 on the bottom
Yellow wire: Goes to 3 on the top and 5 on the bottom
Green wire: Goes to 2 on the top and 3 on the bottom
Blue wire: Goes to 4 on the top and 4 on the bottom
White wire: Goes to 1 on the top and 2 on the bottom
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Keypad Puzzle #2

Solution: Look in cell A12 in order to find a note with the combination. The combination is shown to be 110391
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Penitentiary Puzzle

Solution:
– The left riddle corresponds to the night, as the riddle is referring to the knight on a chess board.
– The middle riddle corresponds to the coffin, as it is referring to the physical object.
– The right riddle corresponds to the blank tile, as it symbolizes nothingness.
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Church Plates Puzzle

Solution:
– Sorrow is the Candle, as you found the plate near a statue that, according to Alex, looks sad.
– Sacrifice is the Chalice, as it was found near the body in the well
– Pentinance is the Kneeling Man, as kneeling can be seen as a desire for forgiveness
– Vengeance is the Sword, as a sword is the likely item out of the five to get revenge
– Desire is the Tree, as it was found underneath the man who was reaching out towards the woman
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Rotating Floor Puzzle

Solution: Look at the four pillars around the room with the four different families and unlock them with the Ceremonial Dagger.

First, notice Fitch’s pad and the emblems around the side of the inner ring. You will want it so that the three family emblems are matched up, with the body, representing Fitch, in Fitch’s tile. So turn the inner ring twice.

Then, the outer circle. If you look at the emblem on top of the messages in the room, you will see additional symbols that match with the families. Match these symbols on the outer ring with the families on the inner ring. So turn the outer ring seven times.
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Rotating Door Lock Puzzle

Solution: The solution involves the two Shepherd insignias, one of which can be found on the pillar next to the Shepherd oath, and the other above the oath.

Match up the two insignas by getting them both to the top of the door. Turn the inner ring four times either way, then turn the outer circle three times to the right.
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