Silent Hill Townfall: How to X-Ray the Patient’s Head and Chest

In Part 3 of Silent Hill Townfall, Zoe arrives in an operating room at St. Amelia Medical Centre, where a dying man lies on the table and Dr. Glenn issues commands through the intercom. After the vitals, he requests images of the head and chest. Both scans use the same two-stage process: choose the exposure on the Zeimann, position the camera over the correct body area, and press the green button.

Quick answer: On the Zeimann, use Skull with kV 3, mA 7, and Time 1; aim the camera at the head and take the scan. For the second scan, select Chest, enter kV 7, mA 3, and Time 1.2, reposition the camera, and scan.

X-ray dosage settings for the skull and chest

Both sets of numbers come straight out of the game. Turn on the computer to the left of the patient in the operating room and open the X-Ray Dosage Table. It lists values for the whole body — Skull, C-Spine, Chest, T-Spine, Ribs, Abdomen, L-Spine and the extremities — but only two rows matter for this task.

Accessing the Dosage Table — The X-Ray Dosage Table on the operating room computer, with the Skull and Chest rows you need. Shown at 00:33 in GosuNoob’s video. Image: Screen Burn

Site	kV	mA	Time
Skull	3	7	1s
Chest	7	3	1.2s

Those entries almost reverse one another, making accidental input easy. Skull uses low voltage with high current, while Chest reverses those settings and extends the exposure by two tenths of a second. Adjust the four controls independently, then verify every one before leaving the console.

Door code and powering up the X-ray room

The X-ray room is the small door at the back of the operating room, on the ground floor of the medical centre, and it is locked behind a keypad. Dr. Glenn says his assistant will page the pin code over, so pull out the pager and read the full message. The number is written there verbatim — X-RAY ROOM CODE IS 7913 — though some playthroughs show 7103 instead. Type in whatever your own pager displays.

Pager Code — The pager message carrying the X-ray room keypad code. Shown at 00:43 in GosuNoob’s video. Image: Screen Burn

Inventory and Map check — The ground floor map of St. Amelia Medical Centre, where the operating room and X-ray room sit side by side. Shown at 00:04 in WoW Quests’s video. Image: Screen Burn

There are two powered devices to start. Use the switch beneath the monitor to start the computer, and then activate the Zeimann unit’s power switch beside it.

If the monitor stays black or the dials refuse to move, one of those two switches is still off.

Capturing the skull X-ray

From the Zeimann console, make Skull the Site. Enter 3 for kV, 7 for mA, and 1 for Time, then verify the complete set of values before moving on.

Configuring the X-ray control panel for the skull scan — The Zeimann control panel, powered on, with the SITE, kV, mA and TIME dials you adjust for each scan. Shown at 01:24 in WoW Quests’s video. Image: Screen Burn

Go to the computer and operate the camera. Use the left stick to move the view along the body and the right stick to change its zoom; the header should already say “Capturing Skull,” identifying the required scan.

Bring the camera up to the patient’s head, then zoom until every one of the monitor’s four corner outlines covers a white marker around the face. Exact pixel placement is unnecessary; a close match works. When accepted, the top of the screen displays Patient Skull – Aligned in green.

Aligning the Skull — The confirmation you are waiting for before firing the first exposure. Shown at 01:23 in GosuNoob’s video. Image: Screen Burn

Go back to the Zeimann unit and press the green X-ray button. Dr. Glenn chimes in over the intercom afterward and the objective rolls over to the chest.

A usable scan is made only if the alignment has been accepted and the controls still match the Skull entry. When the image does not print, check one of those two conditions.

Capturing the chest X-ray

Set up the next exposure before doing anything else. Select Chest for Site, use kV 7 and mA 3, and set Time to 1.2. The most frequent mistake in this part is forgetting to replace the skull settings.

Go back to the computer and sweep the camera down toward the torso. Look below the raised sheet: the chest occupies the central portion of that area, rather than the space over the wires entering the patient.

Adjust the zoom so the corner outlines meet the markers as before. During this scan the header says “Capturing Chest”; completion is signaled by Patient Chest – Aligned.

Aligning the chest camera — The chest framed correctly, with the alignment message confirming the shot. Shown at 02:02 in WoW Quests’s video. Image: Screen Burn

Use the green control on the Zeimann unit again, which captures the second scan.

Printing the films and reading them on the lightboard

The printer on the counter beside the computer produces both exposures. They are combined into one inventory item, Head and Chest X-Rays, described as X-ray films of a patient’s head and chest. Pick them up and take them into the operating room.

At the wall-mounted lightboard beside the intercom, select Use and insert the films. Zoe puts up both images and tells Dr. Glenn they are displayed, confirming that the scans worked.

Examine each film to close the puzzle out. Zoe reads impact trauma and a possible fracture on the head, soft tissue swelling along the side of the face, an opaque density pointing to a collapsed left lung, and a foreign object embedded on the right side of the spine. Once she has walked Dr. Glenn through all of it, the X-ray stage is finished and the objective flips to tracking down three drugs — Hydroxalene, Tensobromide, and Dextracylate — elsewhere in the hospital.