The Silent Hill 2 Remake chained box cylinder lock code

Silent Hill 2 hospital cylinder lock code

(Image credit: Konami)

The hospital cylinder lock in Silent Hill 2 is one of the chained box puzzles in Brookhaven. You'll be checking pills, a clock and a flashing light to get the combination, making it one of the more obscure puzzles as it pulls numbers from a range of unrelated sources, all tied together by a cryptic calendar page clue.

It's not the hardest puzzle, just one of the more vague ones. With a range of completely unrelated things you need to find that will then spell out the numbers you need. And you have to work it all out while dealing with the nurses and other monsters roaming the corridors.

Silent Hill 2 hospital cylinder lock code

Unlocking the Silent Hill 2 Remake hospital cylinder lock involves finding clues to the combination that can be found in two rooms.

The first has a clock with a broken hand you can straighten out, that you find near the end of the chain you initially follow from the box. That's here on the map:

Silent Hill 2 hospital clock map — (Image credit: Konami)

That won't do much on its own initially. You can trigger something if you start spinning the hand, but it's best to wait until know more about what's going on.

To continue this puzzle, and get a bigger idea what's happening, you'll need to leave the clock behind and head around the corner to find a breakable wall you can smash through. That can be found here on the map:

Silent Hill 2 hospital cylinder lock clues — (Image credit: Konami)

This room is where everything is explained. Once inside you'll find this a piee of paper with all the information you actually need to work out the lock code:

Silent Hill 2 cylinder lock note — (Image credit: Konami)

If you examine this page you'll see this message:

1 year they've been watching me
So many pills they fed me
When a loud hour comes
I tremble every time the light fails

The picture of the combination lock at the top tells you these four lines all relate to the four numbers you need.

The Silent Hill 2 Remake hospital cylinder lock code is 1622. To get these numbers you need to do the following:

The first line straight up give you the 1.
The second line mentions pills and in the sink you will see 6.
The third line mentioned the 'loud hour' and if you move the clock hand around you'll trigger bells and be attacked at 2.
The forth line talks about the light failing and if you look at the light through the hole marked 'watch it go dark' you will see the it go dark 2 times.

Obviously you don't actually need to do all this as the code is fixed and works whether you look at the clues or not. But at least you now know where the numbers come from if you wanted to know. There are a few resources around this area as well, so it's worth visiting if only to grab those.

Once you have the numbers you can head back and open the lock on the Chained Box and, depending what else you've done already, have the Silent Hill 2 Remake surgical chair and hospital dummy and the Silent Hill 2 Remake hospital box keypad code to go.

Read our Silent Hill 2 Remake review to find out how we thought Bloober Team did reimagining a 23 year old classic.