Gaming Guide

Silent Hill: Townfall — Clinic Scales Puzzle Solution and Item Locations

Which item belongs on each of the three scales, plus where to collect all three before you walk into the clinic.

Which item belongs on each of the three scales, plus where to collect all three before you walk into the clinic.

Image: Screen Burn

The three scales sitting in the back room of the Shorefront Family Clinic are the gate into the next part of Simon’s story, and they only open once you hand Zoe her own failures in the right order. Each scale expects one specific object, and the Resignation Letter lying around the clinic spells out which one goes where.

Quick answer: Put the Broken Stethoscope on the left scale, the Prescription Dosage Error Note on the middle scale, and Zoe’s Lanyard on the right scale.


Clinic scales puzzle solution: what goes on each scale

ScaleItemMatching letter line
LeftBroken Stethoscope“I didn’t listen closely enough”
MiddlePrescription Dosage Error NoteMistakes, couldn’t focus on the task
RightZoe’s LanyardI’m no longer able to do this job.

The logic is literal rather than cryptic. A stethoscope is a listening tool, so it answers the first confession. The dosage error is the documented mistake, so it sits in the middle. The lanyard is the badge that defines her job, so it closes the letter’s final line. There is no weight or balance element involved — the scales are reading intent, not mass.


Grab the Scalpel before anything else

Two of the three items are locked behind the same tool. The Scalpel sits inside a medical case in Zoe Ellis’s office in the clinic, and it is what lets you cut through into St. Amelia Park and, from there, reach the pharmacy and the residential block on Farrow Street. Skip it and you will be circling the Shorefront with nowhere new to go.


Where to find all three scale items

Zoe’s Lanyard: the human organ transit box

Follow the map to West Shore Road in the Shorefront district and head down the alley into the apartment. A portable medical cooler marked “Human Organ In Transit” is sitting on the kitchen table.
Interact with the combination dial on the left side of the box and turn the tumblers to 0, 6, 7. That releases the first latch.
Unlocking Left Combination00:35Unlocking Left Combination
The left latch on the organ transit box opens on 0-6-7. Shown at 00:35 in 100% Guides’s video. Image: Screen Burn
Move to the dial on the right side and set the three wheels to 2, 4, 4 to pop the second latch.
Unlocking Right Combination00:32Unlocking Right Combination
The right-hand dial uses three tumblers, set here to 2-4-4. Shown at 00:32 in 100% Guides’s video. Image: Screen Burn
Choose Yes to open the lid. Simon inspects the interior and takes Zoe’s Lanyard, her medical ID card, which is the item destined for the right-hand scale.

Prescription Dosage Error Note: the pharmacy locker

The pharmacy sits near the town square, and the Scalpel is what gets you inside. Walk past the front counter into the back storage room, where a locked metal cabinet is waiting against the wall.

Spin the four padlock dials to 6539 and open the door. The Prescription Dosage Error Note is inside, tucked in a paper bag.

Opening Pharmacy Locker00:58Opening Pharmacy Locker
The pharmacy locker uses a four-digit padlock in the back storage room. Shown at 00:58 in 100% Guides’s video. Image: Screen Burn

The locker dials have also been seen landing on 7649, so if 6539 refuses to release the padlock, try that combination before assuming you are at the wrong cabinet.

Broken Stethoscope: Jess’s house on Farrow Street

With the park open, find Building 16 on Farrow Street, directly opposite Building 14. Go upstairs to Room 1/2 and pick up the 21 Farrow St. – Back Door Key.
Head back down into the alleyway beside Building 14 and use that key on the back door of Jess’s house.
Go upstairs to the bedroom. The Broken Stethoscope is resting in an open medical bag on the bed. That is the last of the three items.

Placing the items and confirming the puzzle is solved

Open the map, set a course for the Shorefront Family Clinic, and go in through the front door. The scales are down the main hallway in a side storage room packed with cardboard boxes.

Step 4: Arriving at Clinic01:26Step 4: Arriving at Clinic
The Shorefront map marks the clinic once you are carrying all three items. Shown at 01:26 in 100% Guides’s video. Image: Screen Burn

Assign the scales as follows: Broken Stethoscope to the left, Prescription Dosage Error Note to the centre, and Zoe’s Lanyard to the right. You can place the items in any order, provided each one rests on its own scale.

Solving Scale Puzzle01:44Solving Scale Puzzle
All three scales in the clinic storage room, waiting for the stethoscope, note and lanyard. Shown at 01:44 in 100% Guides’s video. Image: Screen Burn

You will know it worked immediately. The third correct placement triggers a cutscene with no further input from you, pushing the story into the next Part, and the Resignation trophy pops at the same moment. If nothing happens after all three are down, one item is on the wrong plate — pull it back and swap the stethoscope and the note, since those are the two easiest to mix up.