Choose your next guide
Follow the six-Part walkthrough for story progression, or open all 22 codes and their required clues for a specific lock.
PowerPyx explains that knowing a solution generally does not bypass the puzzle-specific items and clues. If a correct code fails, check those prerequisites in the guide.
Official game news · Patch notes and menu versions · Site editing log
Puzzle solutions at a glance
| Puzzle | Part · where | Solution |
|---|---|---|
| Clinic scales | Part 1 – Arrival · Shorefront Clinic, Z. Ellis's room | Left: Broken Stethoscope · Middle: Prescription Dosage Error Note · Right: Zoe's Lanyard |
| Patient vitals (surgery intercom) | Part 3 – The Patient · Surgery | Systolic 70 / Diastolic 40 · Pulse 160 · SpO2 80 |
| X-ray: skull | Part 3 – The Patient · X-ray room | Site Skull · kV 3 · mA 7 · Time 1 |
| X-ray: chest | Part 3 – The Patient · X-ray room | Site Chest · kV 7 · mA 3 · Time 1.2 |
| Infusion pumps (88 kg patient) | Part 3 – The Patient · Surgery | Dextracyclate 15 · Hydroxalene 7 · Tensobromide 8 |
| Intubation | Part 3 – The Patient · Surgery | Right side → Lower left → Top |
| Blood bag wall | Part 3 – The Patient · Transfusion area (Otherworld) | Left 1 Sarah Watson · Left 2 Matthew Clark · Right George McEwan |
| Ordell blood circle | Part 3 – The Patient · Transfusion area | Connect T.F., H.M. and S.W. in straight lines, then press ORDELL |
| Floppy disks (Fix-A-Disk!) | Part 4 – Clara Woods · 5 South Brae computer room | Repair Disk 2 → Unzip Disk 1 to RAM → load Disks 2 & 3 → print MANUAL.EML → safe 956 |
| Painting safe (Lamenting Poem) | Part 4 – Clara Woods · 6 North Brae, upstairs | 736 |
| Time tapes | Part 4 – Clara Woods · 5 Upper Brae | Play Today first, cycle Yesterday / Tomorrow, safe 129 |
| Strange Gate device | Part 4 – Clara Woods · Strange Gate pipe structure | Disc + disc, then cylinder → Constructed Mechanical Device |
| Generator | Part 5 – Richard · CEG HQ exterior | Right rear lever diagonal, others off → Generator Key on the right → pull the red lever |
| Boardroom projector slides | Part 5 – Richard · CEG HQ 5th floor Boardroom | D F B C E A, then press Play |
| Pipe tower cranks | Part 6 – Simon · CEG HQ (Different) | Floor 1 ×2 · Floor 2 left ×1 · Floor 3 ×2 · Floor 4 ×2 → Gas Flow → Flow Test → IGNITE |
| SWDP Remote Systems Control | Part 6 – Simon · SWDP control room | Open+Valve 245 · Start+Filter 130 · locker 0825 · Flush+Auxiliary 246 · Stop+Regulator 781 · Unlock+Door 592 |
| Clamp release (final puzzle, 9 settings) | Part 6 – Simon · SWDP, Valve F area | Balance Intermediate · Notify On · Run Off Disengaged · D71 · Report 1, 3, 6 · Set · None · Battery B / C → RELEASE |
Step-by-step settings: hospital puzzles · Brae, CEG and SWDP puzzles. The SWDP console numbers are read off in-game cameras and differ between walkthroughs; both readings are on the Brae and CEG page.
All 5 endings and the hidden score
Discoveries found +1 each · Simon kills −2 each · Cannula Refills −4 each · Surgery mistakes −3 each.
| Ending | Condition | Trophy |
|---|---|---|
| Justice | Score 20 or more | For St. Amelia |
| Forever | Score 0 to 19 | Here To Stay |
| Abandoned | Score below 0 | Just Making Things Worse |
| Dog | New Game Plus · 3 coins in 3 dog banks | Let’s Talk This Out |
| Sci-fi | New Game Plus · 3 books + Strange Access Card | Sci-fi-lent Hill |