We’ve split the items into three 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!
Supplies
Flashlight
Location: Room 205, Woodside Apartments.
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: At the end of Vachss Road.
Purpose: Helps detect enemies by emitting static whenever a monster is nearby.
Health Drink
Location: Can be found scattered all over Silent Hill.
Purpose: Will recover minor or medium injuries.
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: Can be found scattered all over Silent Hill, albeit rarely.
Purpose: Will restore all health.
Handgun Bullets
Location: There’s a plentiful supply scattered all over Silent Hill
Purpose: To be used with the handgun.
Shotgun Shells
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.
Items
Angela’s Knife
Location: Room 109, Blue Creek Apartments.
Purpose: No real in-game purpose: Although it does contribute to what ending is received, judging on whether James examines it or not. This is explained more in-depth in the Endings section.
Bent Needle
Location: Women’s Locker Room, Brookhaven Hospital.
Purpose: Combine with the piece of hair and use in the Shower Room, 3rd Floor, Brookhaven Hospital.
Canned Juice
Location: In front of Room 107, Woodside Apartments.
Purpose: Use in the Trash Chute to gain the Old Man Coin, 2nd Floor, Woodside Apartments.
Can Opener
Location: Inside the Safe in the Office, 1st Floor, Lakeview Hotel.
Purpose: Use on the unlabelled can in the Kitchen to gain the Light Bulb, Basement Floor, Lakeview Hotel.
Coin – ‘Old Man’
Location: In the Garbage, bottom of trash chute, outside Woodside Apartments.
Purpose: Use in chest, Room 105, Blue Creek Apartments.
Coin ~ ‘Prisoner’
Location: On the side unit, Room 109, Blue Creek Apartments.
Purpose: Use in chest, Room 105, Blue Creek Apartment
Coin ~ ‘Snake’
Location: Inside the Pram/Push Chair, Swimming Pool, Courtyard, Woodside Apartments.
Purpose: Use in chest, Room 105, Blue Creek Apartments.
Copper Ring
Location: Basement’s Basement, Alternate Brookhaven Hospital.
Purpose: Use with Lead Ring on the painting of woman on the door, 3rd Floor, Alternate Brookhaven Hospital.
Dry Battery Cell
Location: In wall with strange painting of hands, Room M6, Alternate Brookhaven Hospital.
Purpose: Use in basement of Historical Society when your flashlight goes out.
Horseshoe
Location: Hanging on door of Prison Yard once you’ve placed the three tablets, Toluca Prison.
Purpose: Combine with Wax Doll and Lighter at trapdoor to create a makeshift handle, Toluca Prison.
Laura’s Letter
Location: Handed to you by Laura, Restaurant, 1st Floor, Lakeview Hotel.
Purpose: No actual in-game purpose, although helps develop the story line.
Lead Ring
Location: Inside refrigerator, Dayroom, 2nd Floor, Alternate Brookhaven Hospital.
Purpose: Use with Copper Ring on the painting of woman on the door, 3rd Floor, Alternate Brookhaven Hospital.
Letter from Mary
Location: Already in your inventory at start of game.
Purpose: No real in-game purpose: Although it does contribute to what ending is received, judging on whether James examines it or not. This is explained more in-depth in the Endings section.
Light Bulb
Location: Inside unlabelled can, Kitchen, Basement, Lakeview Hotel.
Purpose: Place in light on bar so James can see keyhole to locked door, Venus Tears Bar, Basement, Lakeview Hotel.
Lighter
Location: Visiting Room, Toluca Prison.
Purpose: Combine with Wax Doll and Horseshoe at trapdoor to create a makeshift handle, Toluca Prison.
Music Box – Cinderella
Location: Inside case on floor, Room 202, 2nd Floor, Lakeview Hotel.
Purpose: Use on Music Box, Lobby, 1st Floor, Lakeview Hotel.
Music Box – Mermaid
Location: On left side fountain in the front garden, Lakeview Hotel.
Purpose: Use on Music Box, Lobby, 1st Floor, Lakeview Hotel.
Music Box – Snow White
Location: On shelf between Apples and Pumpkins, Pantry, 1st Floor, Lakeview Hotel.
Purpose: Use on Music Box, Lobby, 1st Floor, Lakeview Hotel.
Photo of Mary
Location: Already in your inventory at start of game.
Purpose: No real in-game purpose: Although it does contribute to what ending is received, judging on whether James examines it or not. This is explained more in-depth in the Endings section.
Piece of Hair
Location: Inside the strange box, Room S14, 3rd Floor, Brookhaven Hospital.
Purpose: Combine with bent needle in Shower Room, 3rd Floor, Brookhaven Hospital.
Rust Coloured Egg
Location: In hand of Red Pyramid Thing, Lobby, Alternate Lakeview.
Purpose: Use in door to exit Lobby.
Scarlet Egg
Location: In hand of Red Pyramid Thing, Lobby, Alternate Lakeview.
Purpose: Use in door to exit Lobby.
Tablet of ‘Gluttonous Pig’
Location: On table in Dining Room, Toluca Prison.
Purpose: Use in the gallows, Toluca Prison Yard.
Tablet of ‘Oppressor’
Location: Inside the seventh cell, Northern Cell Block, Toluca Prison.
Purpose: Use in the gallows, Toluca Prison Yard.
Tablet of ‘Seductress’
Location: Shower Stall, Cell Block, Toluca Prison.
Purpose: Use in the gallows, Toluca Prison Yard.
Thinner
Location: Basement Elevator, Basement, Lakeview Hotel.
Purpose: Use with photo found on the bed in Room 202, 2nd Floor, Lakeview Hotel.
Video Tape
Location: Inside the Safe in the Office, 1st Floor, Lakeview Hotel.
Purpose: Use in the VCR, Room 312, 3rd Floor, Lakeview Hotel.
Wax Doll
Location: Southern Cell Block, Ninth Cell, Toluca Prison.
Purpose: Combine with Horseshoe and Lighter at trapdoor to create a makeshift handle, Toluca Prison.
Wire Cutters
Location: Stone Head Room after Maria sequence, Labyrinth.
Purpose: Use on wires blocking entrance in Labyrinth.
Wrench
Location: In front of house on Lindsey Street, Alternate Silent Hill.
Purpose: Use on bolted box behind Praying Woman Statue, Alternate Rosewater Park.
Keys
Apartment Gate Key
Location: Next to the corpse at the of Martin Street
Purpose: Unlocks the gate of Wood Side Apartments.
Apartment Stairway Key
Location: On the bed in Room 208, Blue Creek Apartments.
Purpose: Unlocks the north stairwell of Blue Creek Apartments (second floor).
Bar Key
Location: Boiler Room, Lake View Hotel.
Purpose: Unlocks the “Venus Tears” Bar door in Lakeview Hotel.
Basement Storeroom Key
Location: Room M6 Hospital (alternate).
Purpose: Unlocks storeroom in (Alternate) Hospital.
Clock Key
Location: Bedroom of Room 202, Wood Side Apartments.
Purpose: Unlocks the clock-face in Room 208, Wood Side Apartments.
Courtyard Key
Location: Room 307, Wood Side Apartments.
Purpose: Unlocks courtyard in Wood Side Apartments.
Dog Key
Location: (Available only after you’ve completed the three ‘regular’ endings or received the Rebirth ending) Inside a Dog House in West South Vale, near Jack’s Inn
Purpose: Unlocks the Observation Room after viewing videotape in Room 312 in the Hotel.
Elevator Key
Location: In shower drain, Shower Room, Brookhaven Hospital.
Purpose: Calls western elevator in Brookhaven Hospital
Employee Elevator Key
Location: Room 204, Lakeview Hotel
Purpose: Unlocks the Employee Elevator Room in the Hotel.
Examination Room Key
Location: In the bloody lab coat pocket, Men’s Locker Room, Brookhaven Hospital.
Purpose: Unlocks the Examination Room, Brookhaven Hospital.
Fire Escape Key
Location: Near bars in the Woodside Apartments
Purpose: Unlocks the Fire Escape door at the west end of Woodside Apartments.
Fish Key
Location: On table in the Lake Shore Restaurant, Lakeview Hotel.
Purpose: Unlocks the briefcase in the Cloak Room in the Hotel.
Hospital Lobby Key
Location: Desk, Director’s Room, Alternate Hospital
Purpose: Unlocks the lobby doors of Alternate Hospital
Hotel Stairway Key
Location: After you complete the music box puzzle, Lakeview Hotel
Purpose: Unlocks the gate to the third floor gate
Key of the Persecuted
Location: After you pull the correct noose, Labyrinth.
Purpose: Unlocks the valve in Labyrinth.
Lapis Eye Key
Location: Drawer, M2, Brookhaven Hospital.
Purpose: Opens puzzle in S12, Brookhaven Hospital
Lyne House Key
Location: Desk, Room 105, Blue Creek Apartments, after you solve the Coin Puzzle
Purpose: Unlocks Room 209, Blue Creek Apartments.
Old Bronze Key
Location: In the tin box buried behind the “praying woman” statue in Rosewater Park
Purpose: Unlocks Silent Hill Historical Society
Purple Bull Key
Location: Document Room, Brookhaven Hospital.
Purpose: Opens puzzle in S12, Brookhaven Hospital.
Roof Key
Location: Room S3, Brookhaven Hospital.
Purpose: Unlocks the roof door, Brookhaven Hospital.
Room 202 Key
Location: Room 208, Wood Side Apartments
Purpose: Unlocks Room 202, Wood Side Apartments.
Room 204 Key
Location: In the briefcase in the Cloak Room, Lakeview Hotel.
Purpose: Unlocks Room 204, Lakeview Hotel.
Room 312 Key
Location: Behind Reception Desk, Lakeview Hotel.
Purpose: Unlocks Room 312, Lakeview Hotel.
Spiral-Writing Key
Location: Roach Puzzle room, underground in the Silent Hill Historical Society Museum.
Purpose: Unlocks the gate door beneath the Historical Society.