How to Unlock the Human Organ Box in Silent Hill: Townfall

Early in Silent Hill: Townfall, a white and green cooler marked “HUMAN ORGAN IN TRANSIT” sits on the kitchen table in Zoe’s house. It has two three-digit combination locks, one on each side, and you cannot force it. Inside is Zoe’s Lanyard, the access ID that gets you through the door of the Shorefront Family Clinic, so the story does not move until the box opens.

Quick answer: The combination is the ET number on the Organ Transplant Card. The first three digits go on the left lock, the last three on the right. Most playthroughs show 956 and 133.

Where the Human Organ Box is in St. Amelia

Zoe’s house sits west of the town square in the Shorefront District, reached through the foggy back alley off West Shore Road. Go up the short flight of stairs, through the front door, and turn into the kitchen on the ground floor.

Exploration — The kitchen doorway inside Zoe's house, just past the front door. Shown at 00:12 in 100% Guides’s video. Image: Screen Burn

The cooler is on the wooden table, stamped with “Handle with care,” “Avoid extreme temperatures,” and the reference UNC3573. Interacting with it lets you zoom in on either lock and turn the tumblers one digit at a time.

Reaching the Organ Box — The Human Organ in Transit cooler on the kitchen table, with a three-digit lock on each side. Shown at 00:13 in 100% Guides’s video. Image: Screen Burn

The organ box combination and where the digits come from

Zoe’s message gives the formula: take digits one through three and the final three from the relevant ET code to form the storage container code. You can find ET codes on the Organ Transplant Card; use the number printed on the right.

Lock	Digits to use	Common value
Left	First three of the right-hand ET number	956
Right	Last three of the same ET number	133

Not every playthrough shows the same digits. Combinations such as 067 with 213, and 067 with 244, have also turned up on the same cooler. If 956 and 133 do not budge the locks, open the Clues tab, look at your own Organ Transplant Card, and split the right-hand ET number yourself.

Right Lock — The right-hand lock, where the last three digits of the ET number go. Shown at 00:33 in 100% Guides’s video. Image: Screen Burn

What you need before the locks will open

The game will not let you skip ahead, even if you already know the numbers. You have to collect the clue items and get the electricity back on in Zoe’s house first.

In the same kitchen, open the drawer to the left of the cooler and take the Flashlight (No Batteries). It is useless on its own for now.

Head upstairs into the bedroom and open the drawer of the small nightstand to get the AA Batteries.

Open your inventory, select the AA Batteries, and combine them with the Flashlight (No Batteries) to build a working flashlight you can wear.

Step 2: Find the AA Batteries — Combining the AA Batteries with the flashlight in the inventory menu. Shown at 00:41 in WoW Quests’s video. Image: Screen Burn

Still upstairs, go through the bedroom into the connected bathroom and pick up the Organ Transplant Card from the floor. This is the card that carries the ET numbers.

Back downstairs, crouch and crawl into the cupboard under the stairs. Switch on the flashlight and take the CEG Electricard Credit Guide from the cardboard box, then look at the dead power panel on the wall.

Leave the house and follow the alley to the main street. Peters Newsagent is on your right, but the front is locked, so loop around and go in through the back door while avoiding the monster patrolling the rear alley.

Inside the shop, examine the cash register to take the £5 Prepaid Power Card. There is also a wooden board here you can pick up as a weapon.

Step 7: Find Electricard Credit Card — The wooden board found in Peters Newsagent, in the same room as the cash register. Shown at 02:04 in WoW Quests’s video. Image: Screen Burn

Go back to the cupboard beneath the stairs and access the panel. Put the Prepaid Power Card into the bottom slot, tap Button A until Card Credit appears, tap Button B to use it, and switch the main control at the lower right to On.

With the power back, go to the living room, switch on the desktop computer, open the RedSquares email client, and refresh the inbox. Read the message that explains the container code, along with the corrupted email that spells out the ET reference.

Read the Organ Transplant Card from the Clues section rather than trusting memory. The ET numbers sit side by side, and the left one is not the one the locks want.

Entering the code and confirming it worked

Go back to the kitchen and interact with the cooler. Zoom in on the left lock and dial in the first three digits, 956 in most playthroughs.

Switch to the right lock and set the last three digits, 133 in most playthroughs. Each tumbler turns independently, so check all three before backing out.

The game asks “Will you open the box?” Choose Yes.

You know both codes landed when the prompt appears at all. Pick Yes and a short cutscene plays, showing the lid coming up and a lanyard being pulled out of the cooler. You then receive Zoe’s Lanyard, an Access ID for the Shorefront Family Clinic issued to Zoe Ellis, District Nurse, and your map updates with the clinic as the next objective. The lanyard also appears in your inventory with a Read option if you want to look at the card itself.

What Zoe’s Lanyard unlocks next

Take the lanyard to the clinic entrance and use it on the panel to the left of the door. Inside, the Z Ellis office at the end of the corridor holds a Scalpel in a green medical case, which opens the rusted doors with a hatch in the middle, including the pharmacy and the gate at St. Amelia Park.

Hold onto the lanyard after that. It is one of the three items the Clinic scales puzzle needs later, alongside the Prescription Dosage Error Note from the pharmacy locker and the Broken Stethoscope from Jess’s house.

Step 3: Stethoscope Map Location — The Shorefront map marking the route to the Broken Stethoscope, needed later at the Clinic. Shown at 01:10 in 100% Guides’s video. Image: Screen Burn

Once the cooler is open, the kitchen has nothing else worth searching, and the alley route back toward the town square and the clinic is the fastest way forward.