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Silent Hill Townfall: Blood Transfusion Puzzle Walkthrough

A room-by-room guide to all five blood bags and every step of the altered St. Amelia Medical Center transfusion puzzle.
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Spoilers for The Patient / “Many Into One.” Collect five blood bags, use Alan Duncan’s bag on the S.W. door and Lesley Greer’s on the D.P. door, then place Sarah Watson and Matthew Clark on the two left slots and George McEwan on the right. In the follow-up routing puzzle, connect O−, O+, A− and A+ to the center and press ORDELL.

Where the blood transfusion puzzle takes place

The sequence occurs in the altered St. Amelia Medical Center during The Patient segment, identified in the focused walkthrough as Part 3, Chapter 8, “Many Into One.” This guide gives the placements first, then the room-by-room route to all five bags. (Townfall Wiki)

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Find all five blood bags

Patient Location and route
Alan Duncan After crawling through the vent near the right hallway, take the bag beside the bed.
Sarah Watson Ward S, room 05, beside the bed.
Lesley Greer Use the Ward W Master Key from room 04 to reach Ward W room 13, then climb to room 12.
Matthew Clark In Ward D room 02, activate the elevator to lower the bag. Go to Ward P room 03 and retrieve it from the elevator doorway; the Ward P Master Key is needed for this route.
George McEwan Ward P, room 10, with the Ward P Master Key.

The dedicated puzzle guide and chapter walkthrough support these room locations and key-gated routes. (Townfall Wiki; Silent Townfall)

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Use the bags to open the doors

  1. At the transfusion unit by the S.W. door, use Alan Duncan’s bag.
  2. At the D.P. door, use Lesley Greer’s bag.

These are the two door-opening matches; keep Sarah, Matthew and George for the final bag wall. (Townfall Walkthrough)

#1 Best Overall
Silent Hill Townfall - Day One Edition - PS5
  • Day One Edition Bonus: CRTV Style: Rusted, CRTV Style: Beach Edition
  • Returning to an island town to ‘put things right’, Simon Ordell descends into a world of tense evasion, explosive confrontations, and mind-bending puzzles that slowly surface the truth of St. Amelia
  • Simon Ordell is called back to the island of St. Amelia to ‘put things right’, encountering a town lying quiet beneath a heavy fog, seemingly abandoned but not at rest
  • Venturing deeper, and driven to understand his connection to the place and its inhabitants, Simon begins to discover fragments of a past rising to the surface
  • Experienced entirely in first person, Simon must explore, evade, and survive using a limited set of weapons and tools, including the CRTV, a pocket television used to tune into unstable signals. Evasion is tense; combat is frenetic, while narrative driven puzzles reveal a truth that refuses to stay submerged

Place the three bags at the wall

  1. Put Sarah Watson and Matthew Clark in the two left positions. Either left slot can be used for either bag.
  2. Put George McEwan in the right position.
  3. Operate the switch beside the rear double doors.

The arrangement is a patient-name match rather than a blood-type decision. (Townfall Walkthrough)

Solve the blood-type routing puzzle

  1. Inspect Simon Ordell’s medical wristband to learn his blood type.
  2. Use the compatibility plaques and the labels on the bags to identify the matching lines.
  3. Connect O−, O+, A− and A+ to the center.
  4. Press the central control marked ORDELL.

The accepted connections are O−, O+, A− and A+, and the central control is labeled ORDELL. (Townfall Walkthrough)

Rank #2
Silent Hill Townfall - Day One Edition - PS5
  • Day One Edition Bonus: CRTV Style: Rusted, CRTV Style: Beach Edition
  • When Simon Ordell is called back to the island of St. Amelia to "put things in order", he meets a city lying quietly in dense fog, seemingly abandoned, yet anything but dormant
  • After venturing further to understand his connection to this place and its inhabitants, he gradually discovers fragments of the past rising to the surface
  • Simon must explore, evade and survive from a first-person perspective. It uses a limited arsenal of weapons and tools, including the CRTV: a portable TV to receive unstable signals
  • The dodging is tension, the battles are hectic and the story-based puzzles reveal a truth that does not want to remain hidden
Independent reader supportYour contribution helps us test, update, and keep practical guides available for everyone.Support on Ko-Fi

Get back to the central area

If the return route is blocked after collecting the bags, turn both valves in Ward D rooms 05 and 10. A large enemy patrols nearby; closets along the route provide cover while you reach the valves. (Silent Townfall)

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