The Silent Hill 2 Remake surgical chair and dummy puzzle, is a fetch quest that gives you the Lapis Eye Key for the Hospital chained box with three locks. There's nothing to work out here beyond following the chain, using the Instrument of Force and Key of Bliss (a hammer and lobotomy spike) to get what you need, and then going all the back to the start.
Having the chain to follow should make things easy but you can still get lost when you have to take a divergent paths through the treacherously convoluted corridors of otherworld Brookhaven Hospital. Even without the monsters to fight it can be easy to get turned around.
Silent Hill 2 Remake surgical chair and dummy walkthough
You'll reach the surgical chair and hospital dummy in Silent Hill 2 by following the middle chain of the box to the exam room you can see on the map above. Here you'll find a dummy in the chair shielding its face. Using the Instrument of Force (a hammer) you can break away the first arm, and then twist the second away to reveal the eye.
At this point in Silent Hill 2 Remake, you'll have to follow the chain once more through a breakable wall where you'll find a ladder into the kitchen area. Here you can find the chain again and follow it until you need to go through a gap in a wall. This will take you to room on the map below where you'll find the Key of Bliss, or lobotomy pick, hidden in a small wall recess.
Once you have the lobotomy spike 'key', you just need to work your way back to the ladder in the kitchen and use it to get back to the dummy:
Once you get back to the surgical chair use the Key of Bliss on the dummy to break open its eye and you'll be able to pull the Lapis Eye Key out of the socket:
Once you have the Lapis Eye key, you can head back to the chained box and use it to unlock the middle lock. Depending on what else you've completed at this point you might also have the Silent Hill 2 Remake cylinder lock code and Silent Hill 2 Remake hospital box keypad code to deal with to finally get the whole thing open.
Here's our Silent Hill 2 Remake review for a full breakdown of how we think this reimagined classic does.
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