Gaming How-To

Silent Hill Townfall: How to Get Hydroxalene, Tensobromide, and Dextracylate

Every required dose inside St. Amelia Medical Center during The Patient, plus the Records Room keypad code.

Every required dose inside St. Amelia Medical Center during The Patient, plus the Records Room keypad code.

Image: Screen Burn

During The Patient chapter of Silent Hill: Townfall, Zoe must fill a drug order while searching a hospital stocked mostly with useless items. Following the X-ray sequence, Dr. Glenn announces three medications over the intercom. The only valid syringes at St. Amelia Medical Center contain Hydroxalene—3mg, Tensobromide—11mg, and Dextracylate—2.5mg. All other pickups are merely scenery.

Quick answer: Tensobromide 11mg sits in a green box in the Pharmacy Store, Hydroxalene 3mg is locked in the Records Room behind keypad code 2605, and Dextracylate 2.5mg comes from the pump in Bay 6 upstairs.


All three medication locations in St. Amelia Medical Center

MedicationDoseWhere it is
Tensobromide11mgPharmacy Store, green box
Hydroxalene3mgRecords Room, keypad 2605
Dextracylate2.5mgBay 6, upper floor

Two of the three are on the same level as the operating room, so the efficient route is to clear both of those before taking the stairwell up to Chapman Ward First Floor. Nothing here is timed, despite the intercom nagging.


Tensobromide 11mg location: Pharmacy Store

Pharmacy Store is the nearest of the three collection points to the Surgery room. On the Victoria Ward ground floor, near the save phone, find it opposite Consult Room C and immediately beside the Treatment Room.

Heading to First Floor02:04Heading to First Floor
The map marks the Pharmacy Store in Victoria Ward, a short walk from the Surgery room. Shown at 02:04 in GosuNoob’s video. Image: Screen Burn

Once inside, the syringe is not hidden in a cabinet. It is in the green first aid box sitting on the counter. Open it, take the syringe, and the 11mg dose of Tensobromide goes straight into your inventory.

Collecting Tensobromide 11mg01:58Collecting Tensobromide 11mg
The Tensobromide syringe sits in an open green first aid case with a collect prompt. Shown at 01:58 in GosuNoob’s video. Image: Screen Burn

Hydroxalene 3mg location: Records Room (code 2605)

The Records Room sits in the northwest corner of the same floor as the patient, at the end of the dim Chapman Ward corridor lined with gurneys. Its door is on a four-digit keypad, which is the only real obstacle between you and the Hydroxalene.

The Records Room accepts 2605. To discover that number in-game, go upstairs to the Office and check its northwest corner near the Private Ward for the note. You can enter the code without reading the note and receive the same result.

Unlocking Records Room00:41Unlocking Records Room
Entering 2605 on the Records Room keypad unlocks the door. Shown at 00:41 in GosuNoob’s video. Image: Screen Burn

Inside, open the metal storage cabinet and then the green first aid case on the shelf. The Hydroxalene 3mg syringe is in there, and a collection prompt confirms it the moment you take it.

Collecting Hydroxalene 3mg01:00Collecting Hydroxalene 3mg
The green case on the Records Room shelf holds the Hydroxalene 3mg syringe. Shown at 01:00 in GosuNoob’s video. Image: Screen Burn

Dextracylate 2.5mg location: Bay 6 upstairs

The last dose is one floor up. Take the stairwell to Chapman Ward First Floor and follow the signage to Bay 6, which sits across the corridor from the Office where the Records Room note is kept.

Traveling to Pharmacy Store01:13Traveling to Pharmacy Store
Pulling up the floor plan is the fastest way to line up the stairwell and Bay 6. Shown at 01:13 in GosuNoob’s video. Image: Screen Burn

There is no box for this one. Interact with the medicine dispenser to the left of the hospital bed, among the pumps beside the patient, and Zoe pulls the 2.5mg Dextracylate syringe from the machine.

The upstairs Office is right there, so it is worth ducking in for the note if you want the code documented in your journal rather than typed in cold.


Confirming the doses back in the Surgery room

Carry all three syringes back down to the Surgery room, where Dr. Glenn is still talking to Nurse Ellis. Use the computer to open the Medication Dosage Table, then check the whiteboard beside the bed. The patient weighs 88 kg, which means every number you need comes from the third column of that table.

Reviewing Medical Centre Map00:03Reviewing Medical Centre Map
The hospital map lists all three required dosages and marks the patient's position in Surgery. Shown at 00:03 in GosuNoob’s video. Image: Screen Burn

Slot each syringe into one of the dispensers ringing the bed, press set rate, enter the value, then press ready pump. The rates are 7 for Hydroxalene, 8 for Tensobromide, and 15 for Dextracylate.

MedicationPump rate (88 kg)
Hydroxalene7
Tensobromide8
Dextracylate15

You will know the whole sequence landed when the chapter hands you a phone number to call instead of another dosage prompt. That call is what turns the elevator on and sends you down to Storage for the Medical Incubation Kit, so if nothing happens after the third pump, one of the rates has not been confirmed yet.