As Simon returns to the Otherworld in Silent Hill Townfall, he will find himself in the Medical Center - Different, which contains a locked Blood Transfusion Machine. Your goal here seems complicated, but it's simple: locate the missing blood bags and place them in the correct spots, then open the Transfusion Door. We'll share a full walkthrough of the Blood Transfusion Door puzzle in Silent Hill Townfall so you can follow along with every step to ensure you escape with ease.
Pick up the Medical Centre - Different Map from the center of the room, so you can have an easier time navigating the whole area!
First, get Alan Duncan's (A.D.'s) Blood Bag. Alan Duncan's Blood Bag is found in the furthest southeast room, accessed via the vent. Inside the room, you can collect the Blood Bag and find a tape recorder that will hint at where the Blood Bag must be placed.
Exit Alan Duncan's room and look at the door marked "S.W." You can place Alan Duncan's Blood Bag at the S.W. door and interact with the transfusion button to open the door with the blood you acquired. This will lead you into Ward S.W., where you are now looking for Sarah Watson and Lesley Greer's Blood Bags.
Inside the S.W. Ward, head left into Room 05, where you will find Sarah Watson's Blood Bag. The recorder in the room notes that she has head trauma and her pulse is 90. Make a note of these, but for now, let's stay in the S.W. Ward to locate Lesley Greer's Blood Bag.
North of Room 05, you will find the stairs that lead into the basement of the S.W. Ward. When you take the stairs, you'll get a cutscene introducing you to a large enemy that instantly kills you if it touches you, so keep your IV Bags ready to revive you and stay in stealth; don't waste bullets on it!
Inside the Basement, navigate to Room 04, where you will find the Ward W Master Key. This will allow you to unlock all doors in the S.W. Basement. The Ward W Master Key can be used to unlock Room 18, which contains a ladder that is then used to enter Room 12 of the S Ward (upstairs), which has Lesley Greer's Blood Bag.
With both blood bags acquired, you'll find a vent in Lesley Greer's room that you can use to crawl through to the left to head back outside. However, the big monster from earlier will now be roaming upstairs, so try to avoid it and navigate back to the ladder to the right of Room 13 that will lead you back to the safe starting area.
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