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SOLVED // CH. 4 · CLINIC4 MIN READ

Silent Hill Townfall Scales Puzzle Solution

Updated 2026-09-29 · Category: Puzzles

ANSWER // DIRECT

The scales puzzle is in the back room of the Clinic (6), by the Z Ellis door, at the end of Part 1. Place the Broken Stethoscope on the left, the Prescription Dosage Error in the middle and Zoe's Lanyard on the right. The lanyard comes from the organ transport box in Zoe's kitchen, the Dosage Error from the Pharmacy locker (6539), and the stethoscope from the bed in Jess's house. Placing all three ends Part 1 and unlocks the Resignation trophy.

Text diagram: the three items for the Clinic scales in Silent Hill Townfall, Broken Stethoscope left, Prescription Dosage Error middle and Zoe's Lanyard right.
The Clinic scales: left, middle, rightText diagram · Not a game screenshot

A plain text diagram of the answer, not a game screenshot. The order comes from the PowerPyx walkthrough cited on this page.

Silent Hill Townfall Wiki · original text diagram, no AI or game assets · Material statement

The scales at a glance

This is Chapter 4, Searching for Zoe, in Shorefront District – South. Numbers in brackets are the markers on the Shorefront map you receive at the town square.

Chapter 4 in the full walkthrough

PanItemWhere you get it
LeftBroken StethoscopeBed in the bedroom of Jess's house, beside (14)
MiddlePrescription Dosage ErrorRusty locker in the Pharmacy (7) back room, code 6539
RightZoe's LanyardOrgan transport box in Zoe's kitchen (956 / 133)

Collecting the three items in order

Organ box code: getting the lanyard

Pharmacy locker: the clues behind the code

  1. Open the organ transport box in Zoe's kitchen to get Zoe's Lanyard. Use it on the pad left of the Clinic (6) door.
  2. In the Clinic, go through the second door at the end of the hallway (Z Ellis) and take the Scalpel from the green box beside the computer. It opens every rusty door with a hatch in the middle.
  3. Pharmacy (7): open the door with the Scalpel, look at the posters, pick up the broadcast on the back-room radio (Channel 30), then open the rusty locker with 6539 for the Prescription Dosage Error.
  4. St. Amelia Park (11): open the south door with the Scalpel.
  5. Apartment building south of (14): second floor, apartment 1/2. The 21 Farrow St. – Back Door Key is on the living room table.
  6. Jess's house, beside (14): open the back door with that key and take the Broken Stethoscope from the bed.
  7. Return to the Clinic back room and place the three items: stethoscope left, Dosage Error middle, lanyard right.
Text diagram: the six-step item chain from Zoe's Lanyard and the Scalpel to the Dosage Error, the back door key, the stethoscope and the Clinic scales.
Where each item comes fromText diagram · Not a game screenshot

The item chain in order, as a plain text diagram rather than a game screenshot.

Silent Hill Townfall Wiki · original text diagram, no AI or game assets · Material statement

Clinic reception door code

The keypad door on the left near the Clinic entrance is the reception. It opens with 2896, taken from the post-it note on the Z Ellis computer. It is optional: the answering machine inside marks the Pharmacy on your map and the Nurse's Rounds Form is on the counter, but the speedrun route skips the room.

Two other "reception" numbers come up later. The Hotel Reception Notice in Chapter 2 lists 496 0244 for The Haldane Hotel, callable from the payphone outside. In the Medical Centre in Chapter 7, you dial 5353 (Hospital Storage) on the reception phone after Dr. Glenn gives it to you.

Every phone number and where to dial it

If the scales will not accept the items

  • Check the order: left, middle, right as in the table above
  • Make sure you have all three before you interact; the scales need the full set
  • If the Pharmacy locker refused 6539, look at the posters and receive the broadcast first. Townfall only accepts answers once you have picked up the clues
  • If Jess's back door will not open, you are missing the key from apartment 1/2

What happens next

Placing the items ends Part 1 with the Resignation trophy ("At the Shorefront Family Clinic, show Zoe you understand"). Part 2 starts in Zoe's house and you play as Zoe.

Before you place them, the Resignation Letter to the left of the scales, the two emails on the Z Ellis computer and the Note on Patient Records in Dr Stevenson's drawer are all documents that count toward your ending's Discoveries total.

Why documents change your ending

Silent Hill Townfall FAQ

What goes on the scales in Silent Hill Townfall?

The Broken Stethoscope on the left, the Prescription Dosage Error in the middle and Zoe's Lanyard on the right.

Where is the Broken Stethoscope?

On the bed in Jess's house, beside marker (14). Open the back door with the 21 Farrow St. – Back Door Key from apartment 1/2.

What is the Clinic reception code?

2896, from the post-it note on the Z Ellis computer. The room is optional.

Sources

Related Guides

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