Silent Hill is full of goodies just littering the street. Below is a summary of what these items are, where you can find them and what is it you’re supposed to do with them.
We’ve split the items into four distinct sections, and items within these sections are listed alphabetically. Please note that, due to the number of images on this page, sometimes it can take a little time to load. Please be patient!
Clues | Survival | Keys | Items
Clues
‘Go To School’
Location: End of Alleyway you chase Cheryl down, off Finney Street, Old Silent Hill.
Purpose: Tells you to go to Midwich Elementary School.
‘Doghouse’ at Levin Street
Location: Matheson Street
Purpose: Tells you to go to Levin St.
Receipt
Location: Inside the envelope Dr. Kaufmann dropped in Annie’s Bar after his Mumbler attack, Silent Hill Resort Area.
Purpose: Gives you the combination for the lock on the front door of Indian Runner.
Survival
Flashlight
Location: On the counter in the Café.
Purpose: Self explanatory, provides light in dark areas. Although if left switched off you can sneak past enemies undetected. Can be switched on and off by pressing circle button.
Radio
Location: On the table in the Café.
Purpose: Helps detect enemies by emitting static whenever a monster is nearby.
Health Drinks
Location: Can be found scattered all over Silent Hill.
Purpose: Will recover minor or medium injuries, takes three to recover from major injury.
First Aid Kit
Location: Although not rare, these kits are harder to come by than the Health Drinks. Try to conserve them wherever you can.
Purpose: A first aid kit will completely recover any damage, even when in red.
Ampoule
Location: This can only be found in a few locations.
Purpose: An ampoule will make you impervious to any damage, its effects are only temporary though.
HandGun Bullets
Location: Found in most places through out Silent Hill.
Purpose: Use with your handgun. The handgun can hold fifteen bullets, so you will not need to worry about re-loading too often.
Shotgun Bullets
Location: Although not rare, shotgun shells are harder to locate than handgun bullets. Try not to waste them.
Purpose: To be used with the shotgun. The shotgun can hold up to six cartridges. Remember to re-load as often as possible so you don’t get caught by enemies when you run out of bullets.
Rifle Bullets
Location: Rarely found, only located in limited areas.
Purpose: Used with the hunting rifle found in the mall. The rifle can hold six bullets in total. Due to the nature of its design, the rifle is very slow at re-loading so always get in a safe place before doing so.
Keys
Antique Shop Key
Location: On the desk in the examination room, 1st floor of Alchemilla Hospital.
Purpose: Unlocks the front door of the ‘Green Lion’ antique shop.
Basement Store Key
Location: In the operating room, 2nd floor of Alchemilla Hospital.
Purpose: Unlocks the door to the Hospital basement store room.
Birdcage Key
Location: The left hand side room to the Altar on the 3rd floor of ‘Nowhere’.
Purpose: Unlocks the birdcage in ‘Nowhere’ to gain access to the ‘Key of Phaleg’.
Classroom Key
Location: In the gutter of the courtyard in the Alternate Midwich Elementary
Purpose: Unlocks the classroom located in the north-east, 2nd floor of Midwich Elementary.
Bridge Key
Location: On the altar inside Balkan Church.
Purpose: Turns on the power to the control panel in the Orridge Bridge Control Centre so you can lower the drawbridge.
Examination Room Key
Location: In the room where Alessa was nursed in the basement of Alchemilla Hospital.
Purpose: Unlocks the door to the examination room, where you first meet Lisa.
Hospital Basement Storeroom Key
Location: On the table in the conference room, 1st floor of Alchemilla Hospital.
Purpose: Unlocks the door to the staircase leading down to the Hospital basement.
K.Gordon Key
Location: On the floor of the boiler room after defeating the Lizard Boss.
Purpose: Unlocks the back door of the K.Gordon house.
Kaufmann Key
Location: In the envelope dropped by Dr.Kaufmann, in Annie’s, after his attack from a mumbler.
Purpose: Unlocks the door to apartment number 3, rented by Dr.Kaufmann, at Haerbey Inn.
Key of Aratron
Location: Behind the metal plate in the morgue, 2nd floor of ‘Nowhere’.
Purpose: Unlocks the door of ‘Aratron’.
Key of Bethor
Location: Found inside the bag of Jellybeans on the shelf, 2nd floor of ‘Nowhere’.
Purpose: Unlocks the door of ‘Bethor’.
Key of Hagith
Location: In the clock face, antique shop room, 1st floor on ‘Nowhere’.
Purpose: Unlocks the door of ‘Hagith’.
Key of Ophiel
Location: Stuck in the tap/faucet, bathroom, 1st floor of ‘Nowhere’.
Purpose: Unlocks the door of ‘Ophiel’.
Key of Phaleg
Location: Inside the birdcage, 1st floor of ‘Nowhere’.
Purpose: Unlocks the door of ‘Phaleg’.
Levin Street House Key
Location: In the Dog House on Levin Street.
Purpose: Unlocks the door to the house behind the dog house on Levin Street.
Library Reserve Key
Location: On the body that falls out of the locker, 2nd floor of the Alternate Midwich Elementary.
Purpose: Unlocks the door to the school Library Reserve, 2nd floor.
Lion Key
Location: In the trunk of the deserted Police Car, Finney Street, Old Silent Hill.
Purpose: Unlocks the ‘Lion’ pad lock on the rear door of the Levin Street house.
Motorcycle Key
Location: Beneath the chest of drawers in room 3 of Haerbey Inn, obtained using the magnet.
Purpose: Unlocks the gas tank of the motorcycle in the garage, of Haerbey Inn, to reveal the vial of Aglaophotis.
Picture Card Key
Location: On a table between other playing cards, north-east classroom, 1st floor of Midwich Elementary.
Purpose: Unlocks the door, in the staffroom of the Alternate Midwich, with the two corpses either side.
Safe Key
Location: In the top drawer of the chest behind the counter of Indian Runner.
Purpose: Unlocks the safe, also located behind the counter of Indian Runner, to reveal what looks like bags of drugs.
Scarecrow Key
Location: In the mailbox outside the house on the end of Ellroy Street, Old Silent Hill.
Purpose: Unlocks the ‘Scarecrow’ pad lock on the rear door of the Levin Street house.
Sewer Key
Location: In the cabinet on the wall, north-east corner, 1st level of sewer A.
Purpose: Unlocks the gate to progress to the 2nd level of sewer A.
Sewer Exit Key
Location: In a puddle of blood, far south-west corner, 2nd level of sewer A.
Purpose: Unlocks the exit gate of the second level of sewer A.
Woodman Key
Location: In the basketball court behind Cafe 5to2, Old Silent Hill.
Purpose: Unlocks the ‘Woodman’ pad lock on the rear door of the Levin Street house.
Items
Amulet of Solomon
Location: In the morgue, Ophiel hall on 1st floor of ‘Nowhere’.
Purpose: One of five items needed to open the door to the final battle in the child’s room of ‘Nowhere’.
Ankh
Location: In the ‘graffiti room’, Phaleg hall on 1st floor of ‘Nowhere’.
Purpose: One of five items needed to open the door to the final battle in the child’s room of ‘Nowhere’.
Bloodpack
Location: In the store room, 3rd floor of the Alternate Alchemilla Hospital.
Purpose: Used to distract the ‘Blood Sucker’ in room 204, 2nd floor of Alternate Alchemilla Hospital.
Camera
Location: On the desk in the office, 2nd floor of ‘Nowhere’.
Purpose: Used on pictures in the Altar room, 3rd floor of ‘Nowhere’, to reveal the combinations to lock puzzles for left and right doors.
Channeling Stone
Location: Only available on 2nd time through game – Next Fear mode. On the counter in the Convenience Store on Bachman Street.
Purpose: Go to Endings Section to see its purpose.
Chemical
Location: In the Lab Equipment Room, 2nd floor of Midwich Elementary.
Purpose: Used to burn stone hand to the release Gold Medallion.
Crest of Mercury
Location: In the Jewellery Shop, 2nd floor of ‘Nowhere’.
Purpose: One of five items needed to open the door to the final battle in the child’s room of ‘Nowhere’.
Dagger of Melchior
Location: Wedged in the doors of the refrigerator inside the kitchen, Phaleg hall 1st floor of ‘Nowhere’.
Purpose: One of five items needed to open the door to the final battle in the child’s room of ‘Nowhere’.
Disc of Ouroboros
Location: In ‘Aratron Room’, Phaleg hall 1st floor of ‘Nowhere’.
Purpose: One of five items needed to open the door to the final battle in the child’s room of ‘Nowhere’.
Disinfecting Alcohol
Location: In the Intensive Care Unit, 2nd floor of the Alternate Alchemilla Hospital.
Purpose: Used to soak the ivy and then ignited by lighter to open floor grate.
Flauros
Location: On the Altar in Balkan Church, Old Silent Hill.
Purpose: The Flauros will activate itself during the game.
Gold Medallion
Location: Inside the stone hand in Chemistry Lab, 2nd floor of Alternate Alchemilla Hospital.
Purpose: Opens door to clock tower, along with Silver medallion, when placed in relevant slot.
Lighter
Location: In room 201, 2nd floor of Alternate Alchemilla Hospital.
Purpose: Used with disinfecting alcohol to burn ivy covering floor grate to reach the store room, Alternate Alchemilla Hospital.
Magnet
Location: On the sofa in Blaerbey Inn reception, Silent Hill Resort Area.
Purpose: Used to get motorcycle key from crack in floor boards, room 3 Blaerbey Inn.
Plastic Bottle
Location: In the kitchen, 1st floor Alchemilla Hospital.
Purpose: Can hold the mystery ‘Red Liquid’ found on the floor in Director’s Office, Alchemilla Hospital.
Plate of ‘Cat’
Location: In room 306, 3rd floor Alternate Alchemilla Hospital.
Purpose: One of four plates needed to open the door at the back of Nurses’ Centre in the Alternate Alchemilla Hospital.
Plate of ‘Hatter’
Location: In room 204, 2nd floor Alternate Alchemilla Hospital.
Purpose: One of four plates needed to open the door at the back of Nurses’ Centre in the Alternate Alchemilla Hospital.
Plate of ‘Queen’
Location: In the Directors Office, 1st floor Alternate Alchemilla Hospital.
Purpose: One of four plates needed to open the door at the back of Nurses’ Centre in the Alternate Alchemilla Hospital.
Plate of ‘Turtle’
Location: In the Men’s Toilet, 3rd floor Alternate Alchemilla Hospital.
Purpose: One of four plates needed to open the door at the back of Nurses’ Centre in the Alternate Alchemilla Hospital.
Pliers
Location: In the Operating Room, Basement of ‘Nowhere’.
Purpose: Used on tap/faucet, 1st floor ‘Nowhere’, to release ‘Key of Ophiel’.
Ring of Contract
Location: In the Jewellery Shop, 2nd floor ‘Nowhere’.
Purpose: Used to link chain on refrigerator inside the kitchen, 1st floor of ‘Nowhere’, to keep doors shut and obtain ‘Dagger of Melchior’
Rubber Ball
Location: In the Storage Room, 1st floor Alternate Midwich Elementary.
Purpose: Used in drain on rooftop, of Midwich Elementary, to stop water escaping in Classroom key puzzle.
Screwdriver
Location: In the Operating Room, Basement of ‘Nowhere’.
Purpose: Used to unscrew to metal plate from the wall, morgue 2nd floor of ‘Nowhere’, and reveal ‘Key of Aratron’.
Silver Medallion
Location: In the Music Room, 2nd floor of Midwich Elementary.
Purpose: Opens door to clock tower, along with Gold medallion, when placed in relevant slot.
Stone of Time
Location: In the Astrology Room, Ophiel hall 1st floor of ‘Nowhere’.
Purpose: Placed in clock, Antique Shop room 1st floor of ‘Nowhere’, to release ‘Key of Hagith’.
Unknown Liquid
Location: In the Director’s Office, 1st floor Alchemilla Hopsital.
Purpose: Used on Cybil to expel the strange ‘manifestation’ inside her. Also, when used on a Stalker in Lakeside Amusement Park it triggers a ‘glitch’ to happen that takes Harry directly to where you would usually use the Unknown Liquid on Cybil.
Video Tape
Location: In the Store room trapdoor, secret basement of the Alternate Alchemilla Hospital.
Purpose: Can be used on the video recorder in room 302, 3rd floor Alternate Alchemilla Hospital, to see vague footage of Lisa Garland.