The Silent Hill 2 Remake chained box and how to open it

How to open the Silent Hill 2 Remake chained box — (Image credit: Konami)

The Silent Hill 2 Remake Chained Box has a code, key and combination you need to find to open its three locks. All are found via different puzzles that are all solved in different sections of the hospital, found by following the chains attached to the box. All three challenges are completely different and at least one is tricky to work out. Fortunately, I've done them all and can walk you through what to do, and give you all the different codes you need to find across this especially grizzly section of the Silent Hill 2 Remake.

Silent Hill 2 Remake chained box solution

Map location of the silent Hill 2 remake chained box — (Image credit: Konami)

The Silent Hill 2 Remake Chained Box appears after you've cleared the Silent Hill 2 Remake Director's Office Safe, reached the roof and had a run in with both Laura and the Flesh Lip boss fight.

There are three locks on the Chained Box to deal with - a combination cylinder lock, a key, and a keypad code - all of which can be opened by following the chains attached to them, leading away from the box to different puzzles to solve.

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silent Hill 2 remake chained box locks — (Image credit: Konami)

You'll need to find two codes and a key to get the chained box open by completing these three puzzles:

The Silent Hill 2 Remake cylinder lock code is 1622, and is obtained from a puzzle where you'll find a cryptic note and have to count pills and a flickering light, as well as discover a 'Loud hour' by moving a clock hand to trigger an alarm.
The chained box key is found in the Silent Hill 2 Remake surgical chair and hospital dummy and can be obtained by using an Instrument of Force and Key of Bliss (hammer and lobotomy spike) to break the dummy's arm and dig out the eye socket to get a Lapis Eye Key.
The Silent Hill 2 Remake hospital box keypad code uses the code 9659, which can be found by following its chain to a treatment stretcher. A wire will then lead you to a generator you can start before pressing a button at the stretcher to burn the code on to it.

Once you've completed all three puzzles to get what you need to open the relevant locks, the box will finally open and you'll be get the missing elevator button, before moving on to deal with both the Silent Hill 2 Remake rings.