Silent Hill Townfall: X-Ray Puzzle Solution for Chapter 7 (Skull and Chest Scans)

In the Patient chapter of Silent Hill: Townfall, the X-ray puzzle pairs a finicky interface with a straightforward solution. Before either exposure can be taken, use the camera terminal to position the patient as well as operating the Zeimann X-ray machine. The two images require different settings; reusing the head scan setup for the chest is a quick route to a failed attempt.

Quick answer: Open the X-ray room with the code sent to your pager, then scan the skull at Site Skull, 3 kV, 7 mA, Time 1, and the chest at Site Chest, 7 kV, 3 mA, Time 1.2, aligning the camera before each shot.

Report the patient’s vitals to unlock the imaging objective

You must give Dr. Glenn three vital readings before the X-ray task becomes available. At the start of the chapter, take the St. Amelia Medical Centre map from the wall, then begin the conversation using the wall intercom next to the bed.

Intercom check-in — The Surgery intercom is where you call Dr. Glenn to report vitals and, later, examine the finished films. Shown at 00:14 in 100% Guides’s video. Image: Screen Burn

There are multiple monitors around the bed, but just one provides a usable reading for each vital. Check the corner PC for the permitted values: blood pressure readings beyond 70/110 mmHg are invalid, pulse readings beyond 40–160 cannot be trusted, and blood oxygen below 75% should be rejected. Reporting a value from an incorrect monitor causes damage.

Reading	Value to report	Monitor
Blood pressure	70 systolic / 40 diastolic	Right of the patient
Pulse	160 (flickers to 162)	Foot of the bed
Blood oxygen	80% SpO2	Left of the patient

Go up to each valid monitor, select Respond, and report its reading. After you have recorded all three, Dr. Glenn directs Zoe to do the imaging, updating the objective.

The X-ray room sits directly behind the surgery area, and the keypad combination arrives on your pager from Dr. Glenn’s assistant. Check the pager and enter exactly what the message shows. The code most players receive is 7103, and 5241 also opens the same door if the first fails, so test both before blaming the lock.

Door Code Retrieval — The pager delivers the keypad code for the X-ray room door. Read it here before you touch the keypad. Shown at 00:16 in Ghosts of Reykjavik’s video. Image: Screen Burn

Always trust the pager over any written code. The message is your ground truth if the combination differs in your run.

Turn on the two devices individually once you enter. Beneath the camera terminal’s monitor is a small switch; the Zeimann has a separate switch that moves downward. A missing camera feed on the terminal means one of these devices has not been powered up.

Zeimann dial settings for both scans

You do not need to guess. Back at the laptop beside the patient’s bed, open the X-Ray Dosage Table to see the entries for Skull and Chest. Both sets of numbers are below.

Scan	Site	kV	mA / Time
Skull	Skull	3	7 mA / 1
Chest	Chest	7	3 mA / 1.2

The two scans exchange the kV and mA values. Time is the sole decimal setting: use 1 for the head and 1.2 for the chest. Set each of the four dials separately and check them all before using the green button; the machine gives no warning if you take a chest image with the skull settings.

How to take the skull X-ray

Use the Zeimann console to choose Skull for Site, then dial in kV 3, mA 7, and Time 1. Bring the machine online by flipping its power switch.

Move to the camera terminal and take control. Tilt the rig up toward the patient’s head, then zoom in on the face.

Adjust the view so each of the monitor’s four corner brackets covers a white square around the head. Correct positioning is confirmed by Patient Skull – Aligned at the screen’s top.

Skull Camera Alignment — The green "Patient Skull – Aligned" confirmation on the camera terminal means the head is framed and the scan will fire. Shown at 01:14 in Ghosts of Reykjavik’s video. Image: Screen Burn

Go to the console again and activate the green X-RAY control to expose the film. Over the intercom, Dr. Glenn interrupts and sets the chest as your next target.

How to take the chest X-ray

Back at the Zeimann, change Site to Chest, kV to 7, mA to 3, and Time to 1.2. Double-check every dial, since the head values still fire without a prompt.

Use the terminal to move the camera downward along the body until it is positioned above the torso. Look for the raised section of the sheet: the chest is centered in that area, where the wires lead into it.

Position the corner brackets directly over the white squares, as for the head scan. Wait until the screen shows Patient Chest – Aligned.

Make a final trip to the console and use the green X-RAY control to create the second film.

Collect the films and confirm the puzzle is done

Turn from the console and check the printer on the counter. It outputs a single pickup labelled Head and Chest X-Rays, described in the inventory as films of the patient’s head and chest. An empty tray means an exposure failed, which points back to either the dials or the alignment text.

If the green button refuses to fire, verify both the settings and the confirmation message. For the skull you need Site Skull, 3 kV, 7 mA, Time 1, and “Patient Skull – Aligned.” For the chest you need Site Chest, 7 kV, 3 mA, Time 1.2, and “Patient Chest – Aligned.” The most common slip is mixing up the kV and mA values.

Carry the films to the surgery room and set them on the large lightboard mounted on the wall beside the intercom. Examine the images, talk to Dr. Glenn, and wait for the conversation to end. Imaging is finished when the following objective shows up.

What the X-rays unlock: three drugs and the infusion pumps

After Zoe examines the films, she must search the hospital for three doses. Creatures patrol the corridors now, but they do not pursue her into the surgery room. Check the map to work out a path between the wards.

Map check — The St. Amelia Medical Centre map lays out the surgery and X-ray rooms and the wards you visit for the drugs. Shown at 00:58 in 100% Guides’s video. Image: Screen Burn

Find the Records Room code, 2605, on the noticeboard in the first-floor office at the Chapman Ward’s top left. Each drug must then be placed in an infusion pump and set to a rate for the patient’s 88 kg weight.

Locate Dextracyclate 2.5mg — Check the held map to pinpoint each ward before you head out for the three medications. Shown at 00:09 in 100% Guides’s video. Image: Screen Burn

Drug	Where to find it	Pump rate
Tensobromide 11mg	Pharmacy Store, Victoria Ward ground floor	8
Dextracyclate 2.5mg	Bay 6, Chapman Ward first floor	15
Hydroxalene 3mg	Records Room, Chapman Ward ground floor	7

Collect Hydroxalene 3mg — Hydroxalene 3mg sits in an open case inside the Records Room metal cabinet, unlocked with code 2605. Shown at 00:22 in 100% Guides’s video. Image: Screen Burn

Back at the bed, load one syringe into each pump. Drug-to-pump placement does not matter; only the rate does. Choose SET RATE, enter the number, press the tick until the display reads rate entered, then select READY PUMP. When all three displays read ready, use the small control monitor on the tray beside the bed and press start. The patient’s vitals begin to stabilise, and the chapter moves on to fetching the intubation kit from the basement storage room.