Items

Location: Travis has it in the inventory from the beginning of the game.
Description: My battered clip-on flashlight. With my job, I spend a lot of time on the road at night. When something goes wrong, it's good to have this thing strapped to my jacket.
Purpose: Use it to light up the dark areas. Beware though as the light attracts monsters.

Location: Travis has it in the inventory from the beginning of the game.
Description: A cheap pocket radio. Handy when I'm unloading my rig. Tunes tend to keep the boredom at bay.
Purpose: Emits static when monsters are near.

Location: Travis has it in the inventory from the beginning of the game.
Description: My lucky quarter. I've had this quarter since I was a kid, from then my parents died. It's kind of a lucky charm. It has something scratched into it... looks like "61."
Purpose: Helps to solve the rotary calendar puzzle in the Motel.

Location: Alchemilla Hospital (Otherworld), 2F, Room 205.
Description: Some model lungs. This plastic organ is a replica of a set of human lungs.
Purpose: Should be inserted into the anatomy model in the Exam Room together with the other plastic organs to obtain Glass Eyes.

Location: Alchemilla Hospital (Otherworld), 2F, Room 202.
Description: An ornate, golden egg. Warm to the touch, this egg is larger than a hen's and has a oily shine to it.
Purpose: Unlocks the door with an oval depression on the 1st floor of the Otherworld Hospital.

Location: Alchemilla Hospital (Otherworld), 1F, Women's Toilet.
Description: A model liver. This plastic organ is a replica of a human liver.
Purpose: Should be inserted into the anatomy model in the Exam Room together with the other plastic organs to obtain Glass Eyes.

Location: Alchemilla Hospital, 1F, Women's Toilet.
Description: A small door key marked "Staff Lounge."
Purpose: Unlocks Staff Lounge on the 1st floor of the Hospital.

Location: Alchemilla Hospital, 1F, Staff Lounge.
Description: A small, well used key marked "Exam Room."
Purpose: Unlocks Exam Room on the 1st floor of the Hospital.

Location: Alchemilla Hospital, 1F, Exam Room.
Description: A model stomach. This plastic organ is a replica of a human stomach.
Purpose: Should be inserted into the anatomy model in the Exam Room together with the other plastic organs to obtain Glass Eyes.

Location: Alchemilla Hospital, 1F, Exam Room.
Description: A model intestine. This plastic organ is a replica of a human intestine.
Purpose: Should be inserted into the anatomy model in the Exam Room together with the other plastic organs to obtain Glass Eyes.

Location: Alchemilla Hospital (Otherworld), 2F, Room 204.
Description: A model heart. This plastic organ is a replica of a human heart.
Purpose: Should be inserted into the anatomy model in the Exam Room together with the other plastic organs to obtain Glass Eyes.

Location: Alchemilla Hospital, 1F, Exam Room (after inserting all plastic organs into the model).
Description: A pair of glass eyes taken from the anatomy model in the Exam Room.
Purpose: Unlocks the door with a death mask on the 1st floor of the Otherworld Hospital.

Location: Alchemilla Hospital (Otherworld), 1F, Doctor's Office (after the fight with the boss).
Description: A strange metal object. A tetrahedron with the word "future" engraved on its side. Feels heavier than it looks.
Purpose: Should be combined with the other parts of Flauros to reconstruct it.

Location: Cedar Grove Sanitarium, 2F, T.B. Ward (after solving the iron lung machine puzzle).
Description: A scuffed iron key with a label "Basement Access." Covered in dirt.
Purpose: Unlocks Basement door on the basement floor of the Sanitarium.

Location: Cedar Grove Sanitarium, 1F, Female Dorm 5.
Description: A light, rusty key. The tag says "Patient Belongings Room."
Purpose: Unlocks Patient Belongings on the 1st floor of the Sanitarium.

Location: Cedar Grove Sanitarium (Otherworld), BF, East Pipe Room.
Description: A heavy iron key, with "Interview Archives" written on the tag.
Purpose: Unlocks Archive on the 2nd floor of the Sanitarium.

Location: Cedar Grove Sanitarium (Otherworld), 1F, Infirmary (after solving the miniatures puzzle).
Description: A key with "Dr. Harris" written on its tag.
Purpose: Unlocks Dr's Office on the 1st floor of the Sanitarium.

Location: Cedar Grove Sanitarium, 1F, Dr's Office.
Description: A strange symbol. This symbol is made of metal and has the word "Jocasta" etched into its base.
Purpose: Unlocks Female Seclusion on the 1st floor of the Otherworld Sanitarium.

Location: Cedar Grove Sanitarium (Otherworld), 1F, Female Seclusion, Room 05 (after the fight with the boss).
Description: A strange metal object. A tetrahedron with the word "past" engraved on its side. Feels heavier than it looks.
Purpose: Should be combined with the other parts of Flauros to reconstruct it.

Location: Cedar Grove Sanitarium, 1F, Lobby (after the fight with the boss).
Description: A faded yellow ticket for the Artaud Theater. Admits one to "The Tempest."
Purpose: Should be placed at the box office counter to unlock the front door of the Artaud Theater.

Location: Silent Hill, in the open trunk of the car right after exiting the Cedar Grove Sanitarium.
Description: A heavy iron key. The label reads "Lumber Yard."
Purpose: Unlock Lumber Yard's gate in Silent Hill.

Location: Artaud Theater, 1F, Director's Office.
Description: A square stone totem with a sun symbol painted on it.
Purpose: Should be placed into one of the two square depressions near the door in the east corridor on the 2nd floor of the Theater to unlock it.

Location: Artaud Theater (Otherworld), 1F, Director's Office.
Description: An ornate iron key marked "Balcony Corridor."
Purpose: Unlocks Balcony Corridor on the 2nd floor of the Theater.

Location: Artaud Theater, 2F, Lighting Box.
Description: A bulb for a spotlight, rated 125W.
Purpose: Should be inserted into one of the light plugs on the Catwalk on the 2nd floor of the Theater.

Location: Artaud Theater, 2F, Lighting Box.
Description: A bulb for a spotlight, rated 250W.
Purpose: Should be inserted into one of the light plugs on the Catwalk on the 2nd floor of the Theater.

Location: Artaud Theater, 2F, Lighting Box.
Description: A bulb for a spotlight, rated 500W.
Purpose: Should be inserted into one of the light plugs on the Catwalk on the 2nd floor of the Theater.

Location: Artaud Theater, 2F, Lighting Box.
Description: A bulb for a spotlight, rated 750W.
Purpose: Should be inserted into one of the light plugs on the Catwalk on the 2nd floor of the Theater.

Location: Artaud Theater, 1F, East Corridor near the staircase.
Description: A square stone totem with a moon symbol painted on it.
Purpose: Should be placed into one of the two square depressions near the door in the east corridor on the 2nd floor of the Theater to unlock it.

Location: Artaud Theater (Otherworld), 1F, Stage, Forest's scene.
Description: A simple metal key marked "stage office."
Purpose: Unlocks Stage Office on the 1st floor of the Theater.

Location: Artaud Theater, 1F, Stage Office.
Description: A thin, metal lever taken from a control panel. One end is threaded to be screwed into a socket.
Purpose: Should be inserted into the control panel on the stage of the Theater.

Location: Artaud Theater (Otherworld), 1F, Stage, Cave's scene (after the fight with the boss).
Description: A strange metal object. A tetrahedron with the word "falsehood" engraved on its side. Feels heavier than it looks.
Purpose: Should be combined with the other parts of Flauros to reconstruct it.

Location: Artaud Theater, 1F, Lobby (after the fight with the boss).
Description: Looks like a door key. Has a keychain advertising the "Riverside Motel."
Purpose: Unlocks the front door of the Motel's Reception.

Location: Andy's Books, in the cash register.
Description: A well used, simple key for a mortise lock. "Backdoor" is written on its tag.
Purpose: Unlocks the back door of Andy's Books.

Location: Riverside Motel, 1F, Reception.
Description: A simple, grubby motel key with the label "306".
Purpose: Unlocks Room 306 in the Motel.

Location: Riverside Motel, 1F, Maintenance Corridor.
Description: A scuffed metal key with "Manager's Office" written on its tag.
Purpose: Unlocks Manager Office in the Motel.

Location: Riverside Motel, 1F, Game Room.
Description: A small metal token for use in a laundromat.
Purpose: Should be used in the washing machine in the Laundro Mat to switch it on.

Location: Riverside Motel, 1F, Laundro Mat (after solving the washing machine puzzle).
Description: A key with "Cleopatra" written on its snake pattern keychain.
Purpose: Unlocks Cleopatra Room in the Motel.

Location: Riverside Motel (Otherworld), in the heart-shaped pool.
Description: A golden heart inlaid with jewels. When I shake it, I can hear something rattling around inside.
Purpose: Should be broken with the help of the vice in the Maintenance Room of the Motel to obtain Wedding Ring.

Location: Riverside Motel (Otherworld), 1F, Diner.
Description: An antique ornamental dagger. Looks like an ornament, but its blade cuts like the real thing.
Purpose: Unlocks Nero Room in the Otherworld Motel.

Location: Riverside Motel, 1F, Maintenance Room (after cracking the Jeweled Heart with the vice).
Description: A golden wedding ring. The wedding ring has a message engraved on its band. It reads: To my June bride. Love forever, Richard.
Purpose: Helps to solve the rotary calendar puzzle in the Motel. Should be inserted into a circular depression after the correct data is entered.

Location: Riverside Motel, 1F, Reception (after solving the rotary calendar puzzle).
Description: A simple motel key with the label, "500." When I hold it in my hand, the hairs on the back of my neck stand on end.
Purpose: Unlocks Room 500 in the Motel.

Location: Riverside Motel (Otherworld), 1F, area beneath Room 500.
Description: A strange metal object. A tetrahedron with the word "truth" engraved on its side. Feels heavier than it looks.
Purpose: Should be combined with the other parts of Flauros to reconstruct it.

Location: Alchemilla Hospital, Basement.
Description: The core part of Flauros.
Purpose: Should be combined with the other parts of Flauros to reconstruct it.

Description: A refreshing herbal drink. With a mixture of herbs and vitamins, this drink is perfect for combating aches and pains.

Description: A complete first aid kit. Filled with bandages, sutures, and other medical supplies, this can treat serious injuries.

Description: A narcotic ampoule. The powerful narcotic in these ampoules can ease the pain of any injury. The pack a kick, too.

Description: A caffeinated drink with a kick. I sometimes drink these on long drives; keeps me awake.

Description: A box of 24 .22 caliber bullets for use in a target pistol.

Description: A box of 4 shotgun shells loaded with buckshot.

Description: A box of 16 9mm bullets for a medium caliber pistol.

Description: A box of 4 .38 caliber bullets, designed for use in a hunting rifle.

Description: A 18-round clip for an Assault Rifle, loaded with 7.62mm bullets.

Description: A box of 6 .44 bullets for a hand cannon.

Location: Silent Hill, on top of the staircase next to the Post Office (appears during second and further walkthroughs).
Description: A key with a tag in the shape of the crescent moon. It looks like an ordinary motel key but there's something... otherworldly about this thing. It smells of ozone.
Purpose: Unlocks Room 502 in the Motel. Use it to obtain the UFO ending.

Location: Travis has it in the inventory from the beginning of the game (appears after gaining the Stalker accolade).
Description: Night vision goggles. These goggles are perfect for sneaking up on things in the dark.
Purpose: Helps to see in the dark areas without using the flashlight.