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
Health Drinks
Location: Can be found scattered all over Silent Hill and Shepherd’s Glen.
Purpose: Replenishes a small amount of Alex’s health
First Aid Kit
Location: Can be found scattered all over Silent Hill and Sheperd’s Glen but in limited supply. It’s best to conserve these kits for boss battle or if Alex is on the brink of death.
Purpose: Replenishes a large amount of Alex’s health.
Serum
Location: Very rare only 8 are found in the entire game. It’s best to conserve these powerful health items for boss battles.
Purpose: Replenishes all of Alex’s health (even if on the brink of death) and gives him a few second of invulnerability.
Keys
Attic Key
Location: On Adam Shepherd’s workbench in his workroom in the basement of the Shepherd family home
Purpose: Unlocks the attic in the Shepherd home.
Founder’s Key
Location: Dropped by Scarlet Boss in the childrens room in Dr. Fitch’s Office
Purpose: Reveals a hidden trap door was used on the pulpit in the main room of the Town Hall.
Operating Theatre Key
Location: In the hands of a severed corpse on the second level on the Operating Theater in the Hospital
Purpose: Unlocks the padlock on the double doors in the Operating Room.
Maintenance Key
Location: In the large red toolbox on the first floor of the Grand Hotel on the other side of the elevator.
Purpose: Unlocks the maintenance gate to the left of the hotel entrance.
Moon Garden Key
Location: Dropped from the statue in Dargento Cementary after placing the Garnet Gemstoke above the roman numeral I and the Turquoise Gemstone above the roman numeral “XII.”
Purpose: Unlocks the door to the Moon Garden in Dargento Cemetery.
Room 301 Key
Location: Found hanging on the keyboard in room 321 in the Underground Lair.
Purpose: Unlocks room 301 in the Underground Lair.
Sector 3 Key
Location: Found in room 2111 in the Underground Lair.
Purpose: Unlocks the door to the Sector 3 Hallway in the Underground Lair.
Small Key
Location: Found on the examination table in the room adjacent to the children’s examination room in Doctor Fitch’s office.
Purpose: Unlocks a blue doll case in the children’s room.
Strange Key
Location: Given to Alex by the mysterious woman in the Grand Hotel in reward for fetching her three lost memories.
Purpose: Unlocks the strange looking door in the secret room on the third floor of the hotel.
Toluca Lake Water and Power Key
Location: Found on a table in the kitchen in the Water and Power Office.
Purpose: Unlocks a metal door to the Power Plant.
Items
Alchemilla Postcard
Location: Grand Hotel Room 404 bathroom medicine cabinet.
Purpose: One of three memories belonging to the mysterious woman on the third floor of the hotel. Once all three memories are returned a Strange Key is given in exchange that opens the Strange Door on the third floor.
Angry Mask
Location: Living room on the first floor of the Alternate version of Alex’s home.
Purpose: One of three masks used to solve the Mask puzzle in the dining room.
Bloodstone
Location: Outside of Alchemilla Hospital on a bench next to a tree
Purpose: Has no in-game use except to confuse players looking to solve the statue puzzle in the Janus Garden.
Bogeyman Knife
Location: In the back of a dead Schism found in the butcher room in the Alternate basement of Alex’s home.
Purpose: One of three knifes needed to be placed on the knife rack in the butcher room in the Alternate basement of Alex’s home. When all three knifes are in place the fourth and final light on the front door will light up allowing Alex to exit the house.
Broken Watch
Location: In the locked coffin in the Bartlett Mausoleum
Purpose: When Alex’s reads the back inscription “Forgive Me” he falls to the floor and is transported to Simmons Street.
Butcher Knife
Location: Behind the fleshy door next to the clock puzzle in Joshua’s room on the second floor of the Alternate version of Alex’s home.
Purpose: One of three knifes needed to be placed on the knife rack in the butcher room in the Alternate basement of Alex’s home. When all three knifes are in place the fourth and final light on the front door will light up allowing Alex to exit the house.
Candle Plate
Location: Held by a statue in the West Wing of the church.
Purpose: One of five plates placed on the organ to reveal the exit from the church.
Cassette Tape
Location: Bathroom counter on the second floor of Alex’s House.
Purpose: Gives insight into Alex’s family life. Play the tape by using the answering machine found in the kitchen.
Cleaver
Location: On the table outside Alex’s parent’s room on the second floor of the Alternate version of Alex’s home.
Purpose: One of three knifes needed to be placed on the knife rack in the butcher room in the Alternate basement of Alex’s home. When all three knifes are in place the fourth and final light on the front door will light up allowing Alex to exit the house.
Elle’s Locket
Location: Given by Elee while crossingToluca Lake
Purpose: None
Empty / Full Gas Can
Location: inside Alex’s home garage
Purpose: Carries gas found in an abandoned truck for use the basement water pump.
Fallen Star Medal
Location: In the medal case in the room with the jacket and pedestal in the attic in the Alternate version of Alex’s home.
Purpose: One of three military medals needed to decorate the jacket found in the attic of Alex’s home. Once all three are in place the second symbol on the front door lights up.
Frowning Mask
Location: In the Kitchen on the first floor of the Alternate version of Alex’s home.
Purpose: One of three masks used to solve the Mask puzzle in the dining room and light up the first symbol on the front door.
Garage Remote
Location: Basement of Alex’s house on top of the water pump.
Purpose: Opens the garage outside Alex’s home.
Garnet
Location: Concrete bench behind a cracked wall near the Southern entrance to Dargento cemetery (by the Bait Shop).
Purpose: One of two stones needed to solve the statue puzzle in the Janus Garden.
Heart of Darkness Medal
Location: Under a table outside the attic stairs in the Alternate second floor of Alex’s home.
Purpose: One of three military medals needed to decorate the jacket found in the attic of Alex’s home. Once all three are in place the second symbol on the front door lights up.
Indifferent Mask
Location: In the bathroom on the second floor of the Alternate version of Alex’s home.
Purpose: One of three masks used to solve the Mask puzzle in the dining room.
Lakeside Amusement Park Postcard
Location: Grand Hotel Room 507 on bed.
Purpose: One of three memories belonging to the mysterious woman on the third floor of the hotel. Once all three memories are returned a Strange Key is given in exchange that opens the Strange Door on the third floor.
Letter from Dad
Location: Inside the locked desk in the Attic of Alex’s home.
Purpose: None except it explains Alex’s father’s trip to Silent Hill
Loose Wire
Location: Overlook Penitentiary Second Floor Electrician’s Room.
Purpose: One of three wires needed to repair the breaker box in upper guard room of Cell Wing A.
Kneeling Man Plate
Location: Inside the confessional in the East Wing second floor after speaking with Alex’s Father.
Purpose: One of five plates placed on the organ to reveal the exit from the church.
Odd Stone Plate
Location: Rose Heights Cemetery East Garden at the base of a broken fountain.
Purpose: First half of a plate needed to open the golden gates to the parking lot.
Old Revolver
Location: Taken from Alex’s mother.
Purpose: Give to Curtis to receive a working handgun.
Radio Wire
Location: Overlook Penitentiary Second Floor cell A20.
Purpose: one of three wires needed to repair the breaker box in upper guard room of Cell Wing A.
Robbie / Stuffed Rabbit
Location: #1: Room 203 on the second floor of Alternate Alchemilla Hospital. #2:Bloody bathtub in the bathroom on the second floor of the Alternate version of Alex’s home.
Purpose: #1: Give Joshua his toy to unlock the exit doors of the hospital. #2 When placed in the glowing window in Joshua’s room (after the Solving Time puzzle is solved) the third symbol on the Alternate front door of Alex’s home lights up.
Sapphire Stone
Location: Concrete bench near the North East entrance of the Dargento cemetery (by the docks).
Purpose: Has no in-game use except to confuse players looking to solve the statue puzzle in the Janus Garden.
Scarlet’s Doll
Location: Found in the locked blue box in the chidrens room of Dr. Fitch’s office
Purpose: Takes Alex to the Hell descent and after the Scarlet battle contains the Founder’s Key.
Shepherd Family Ring
Location: Given to Alex by his father in the secret chamber behind the Church organ.
Purpose: None
Scrap of Wire
Location: Overlook Penitentiary First Floor cell A10.
Purpose: one of three wires needed to repair the breaker box in upper guard room of Cell Wing A.
Chalice Plate
Location: Inside the baptismal font in the East Wing of the church.
Purpose: One of five plates placed on the organ to reveal the exit from the church.
Strange Stone Plate
Location: Rose Heights Cemetery West Garden at the base of a fountain.
Purpose: Second half of a plate needed to open the golden gates to the parking lot.
Sword Plate
Location: On the second floor of the Church underneath a picture of a knight.
Purpose: One of five plates placed on the organ to reveal the exit from the church.
Toluca Lake Postcard
Location: Grand Hotel Room 403 bathroom
Purpose: One of three memories belonging to the mysterious woman on the third floor of the hotel. Once all three memories are returned a Strange Key is given in exchange that opens the Strange Door on the third floor.
Tree Plate
Location: Behind the painting of a man on the second floor of the church.
Purpose: One of five plates placed on the organ to reveal the exit from the church.
Turquoise Stone
Location: In a sink in the top left office in the Toluca Water and Power Office.
Purpose: One of two stones needed to solve the statue puzzle in the Janus Garden.
Unlit Candle
Location: Second level of the East Wing in the alcove past the confessional.
Purpose: Place the candle on the holder beneath the statue in the West Wing to grab the Candle Plate.
Vile Acts Medal
Location: On a mannequin under the pipes at the top of the attic stairs in the Alternate version of Alex’s home.
Purpose: One of three military medals needed to decorate the jacket found in the attic of Alex’s home. Once all three are in place the second symbol on the front door lights up.
X-Ray Film
Location: Found in Room 204 on the second floor of Alchemilla Hospital.
Purpose: Contains the second half of the keypad code that opens the locked door outside the Nurse Center.