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  1. Games
  2. Survival Horror Games
  3. Silent Hill
  4. Silent Hill Townfall

How to solve the X-Ray puzzle in Silent Hill Townfall

Guides
By Leon Hurley
last updated 2 October 2026

You'll need the right settings to take X-Rays in Townfall, so here's what to do

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Silent Hill Townfall x-ray puzzle
(Image credit: Konami)
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The Silent Hill Townfall X-Ray puzzle makes you take X-Rays of a patient's skull and chest by lining up the machine and using the correct kV, mA and time settings. You'll need to use some instructions and a table to understand what to do and how to set everything up. Like the Townfall blood pressure, pulse and O2 puzzle before this, there's a lot to read and process as you fiddle with knobs and switches. Below is the short version to help you get through it all quickly.

How to take the skull X-Ray in Silent Hill Townfall

Silent Hill Townfall skull x-ray

(Image credit: Konami)

You'll need to turn the computer on in the X-Ray room before you do anything else and then move the image upwards to find the skull, as shown above. You won't see the head as it's under the cloth but you'll notice some small white squares you can line up with the camera image. You'll know you're in the right place when it says "Patient Skull - Aligned."

Now you need to turn the X-Ray machine on using the power switch on the control panel but before you can actually take the picture you'll need to check the X-Ray Dosage Table on the laptop in the other room. That will give you these figures:

Silent Hill Townfall x-ray dosage table

(Image credit: Konami)

To X-Ray the skull you now need to set the dials on the control panel to these values:

  • Site: Skull
  • kV: 3
  • Time: 1
  • mA: 7

That should look like this on the panel itself:

Silent Hill Townfall skull x-ray panel

(Image credit: Konami)

If you've got it all set up right you can then press the green X-Ray button to take the picture and trigger the next stage.

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How to take the chest X-Ray in Silent Hill Townfall

Silent Hill Townfall chest x-ray

(Image credit: Konami)

With the skull X-Ray taken you'll now have to take a picture of the chest. Use the camera again first to move the view down and align with the lower set of white squares around the cloth panel with the wire going in, as shown above. It'll say 'Patient Chest - aligned' when you're in position.

Now, using the X-Ray Dosage Table from the laptop again, you want to set the dials to these values:

  • Site - Chest
  • kV - 7
  • Time - 1.2
  • mA - 3

That should look like this on the instrument panel:

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Silent Hill Townfall chest x-ray settings

(Image credit: Konami)

Get all the dials in the right place, then press the green button to take the shot and if it's all set up right you'll be able to collect hard copies of the pictures from a printer at the back of the room. You can now place these on the light box on the wall in the other room to relay what they show to the doctor on the intercom.

Once that's done you'll now have to find the infusion drugs in Silent Hill Townfall. This is a lengthy and dangerous stealth heavy section, where you'll have to explore several floors of a large building to find what you need.

© GamesRadar+. Not to be reproduced without permission.

CATEGORIES
PC Gaming PS5 Xbox Series X Platforms PlayStation Xbox
Leon Hurley
Leon Hurley
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Managing editor for guides

I'm GamesRadar's Managing Editor for guides. I also write reviews, previews and features, largely about horror, action adventure, FPS and open world games. I previously worked on Kotaku, and the Official PlayStation Magazine and website.

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