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Chapter Five: Alchemilla Hospital
Silent Hill f

Chapter Five: Alchemilla Hospital

Navigate Alchemilla Hospital in Silent Hill f. Find the Basement Key, restore power, and uncover the mysterious 4th floor.

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Navigate Alchemilla Hospital in Silent Hill f. Find the Basement Key, restore power, and uncover the mysterious 4th floor.

Walkthrough
  1. 1
    Enter Alchemilla Hospital through the double doors into the lobby.
  2. 2
    Find the hospital map and a notepad (save point) on the bulletin board.
  3. 3
    Follow the hallway to the Examination Room, the only unlocked door.
  4. 4
    Inside, you will encounter Dr. Michael Kaufmann, who mistakes you for a monster.
  5. 5
    After speaking with Kaufmann about your daughter and his wife, he leaves.
  6. 6
    Head through the door to the left, behind the receptionist desk, to find a First Aid Kit.
  7. 7
    Return to the Examination Room and go through the door on the right into the Medicine room.
  8. 8
    Find a newspaper with a missing article.
  9. 9
    Exit through the far door to the east wing and find an unlocked door in the right-hand corner leading to a doctor's office.
  10. 10
    Pick up the map for the hospital's basement in the doctor's office.
  11. 11
    Go through the wooden door to the south into the conference room and find the "Basement Key" on the table.
  12. 12
    Return to the hallway and enter the kitchen through the nearest double doors.
  13. 13
    Pick up a plastic bottle from the counter in the kitchen.
  14. 14
    Enter the Director's Room (next door on the right).
  15. 15
    Examine the items on the other side of the desk and find a glass vial with a substance.
  16. 16
    Use the plastic bottle from the kitchen to collect the remaining substance from the vial.
  17. 17
    Leave the Director's Room; the elevator is out of power.
  18. 18
    Use the "Basement Key" on the door to the right of the elevator to access the basement stairs.
  19. 19
    Carefully descend the stairs, avoiding cockroaches at the bottom.
  20. 20
    In the basement, head to the Generator Room (the next door down from the stairway).
  21. 21
    Turn on your flashlight to see and interact with the open panel on the generator to restore power to the elevators.
  22. 22
    Return to the first floor via the stairs or elevator.
  23. 23
    Save your game at the reception desk.
  24. 24
    Use the elevator in the west wing to attempt to reach floors 2 and 3.
  25. 25
    After exploring floors 2 and 3, return to the elevator to find a mysterious 4th floor option on the panel.
  26. 26
    Take the elevator to the mysterious 4th floor.
  27. 27
    Upon exiting the elevator on the 4th floor, you see a girl in blue enter an antique shop.
  28. 28
    Find and go through a set of double doors into a dimly lit hall. These doors will lock behind you.
  29. 29
    Proceed to the far end of the hall; visibility is zero without a flashlight. The doors here will also lock.
  30. 30
    Turn on your flashlight and take the stairs at the far end of the hallway back down to the third floor.
  31. 31
    On the third floor, go through the double doors at the bottom of the first flight of stairs.
  32. 32
    Defeat the zombie nurse and proceed to the bathroom.
  33. 33
    Find the "Plate of the Turtle" on the windowsill in the bathroom and take it.
  34. 34
    As you leave the bathroom, you will hear something break.
  35. 35
    Head to room 301 and enter. You will find a birdcage, but the bird is gone.
  36. 36
    Leave room 301 and find the second door on your left, which is room 302, the AV room.
Tips
  • The notepad on the bulletin board in the lobby serves as a save point.
  • The plastic bottle can be used to collect a mysterious substance from a vial in the Director's Room.
  • Cockroaches are present at the bottom of the basement stairs.
  • The flashlight is essential for navigating dark areas on the 4th floor.

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