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World desk1 min

Silent Hill: Townfall — How to Solve the Scales Puzzle

Put the Broken Stethoscope on the left, the Prescription Dosage Error Note in the middle, and Zoe’s Lanyard on the right to solve the clinic scales puzzle.
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In the Shorefront Family Clinic’s Z Ellis room, set the scales from left to right with the Broken Stethoscope, Prescription Dosage Error Note, and Zoe’s Lanyard. The arrangement matches the sequence of regrets in Zoe’s resignation letter.

What goes on the scales in Silent Hill: Townfall?

  1. Place the Broken Stethoscope on the left.
  2. Place the Prescription Dosage Error Note in the middle.
  3. Place Zoe’s Lanyard on the right.

The scales are in the Z Ellis room at the end of the Shorefront Family Clinic corridor in Chapter 4. This is a symbolic matching puzzle: the objects correspond to the letter’s meaning; you do not need to calculate their weight.

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Why this is the correct order

Zoe’s resignation letter connects three regrets to the objects in sequence: not listening closely enough points to the stethoscope, making mistakes while unable to focus points to the dosage error note, and leaving her clinic role points to the lanyard. The letter includes the lines “I didn’t listen closely enough” and “I made mistakes and couldn’t focus on the task at hand.” VGC

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Where to find each item

Broken Stethoscope

Find it on the bed in Jess’s house. To enter, use the back-door key found in an upstairs apartment.

#1 Best Overall
SILENT HILL: townfall | DAY ONE EDITION - PlayStation 5
  • Experienced entirely in first person, explore, evade, and survive using a limited set of weapons and tools, including 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.
  • SILENT HILL: Townfall is a full-length, self-contained psychological horror set against the cold, isolated backdrop of Scotland, 1996

Prescription Dosage Error Note

Find it in the pharmacy locker. The reported code is 6539. A guide notes that you may need to collect the locker clue before the code works.

Zoe’s Lanyard

Take it from the organ transport box in Zoe’s house.

Rank #2
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
Independent reader supportYour contribution helps us test, update, and keep practical guides available for everyone.Support on Ko-Fi

What happens after you place the items?

The correct arrangement triggers a cutscene and advances the story. If you want to explore nearby areas before moving on, do so before placing the final item.

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Rank #4
Hasbro Gaming Avalon Hill Betrayal at The House on The Hill Second Edition Cooperative Board Game, Ages 12 and Up, 3-6 Players, 50 Chilling Scenarios
  • RE-PLAYABLE NARRATIVE BOARD GAME: Tile by tile, terror by terror, build their own haunted mansion and then try to escape it alive. The game is for 3-6 players and takes about 60 minutes to play
  • MODULAR BOARD PIECES: The Betrayal at House on the Hill tabletop game features 50 blood-curdling scenarios. Each trip to the house promises fresh horrors and a new story is created every time you play
  • HAUNTED HOUSE TRAITOR GAME: Players must work together to survive the nightmare…but beware! The house turns one player against the others in this cooperative strategy game
  • MINIATURES BOARD GAME: This second edition of Betrayal at House on the Hill includes 6 pre-painted plastic explorer figures, 80 cards, 149 tokens, 44 room tiles, 2 haunt books, and more
  • IMMERSIVE NARRATIVE: Get ready for an unpredictable and thrilling exploration of the haunted house. Encounter witches, dragons, zombies, and other spooky and bizarre B-movie horror clichés
Rank #3
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

If the scales do not accept the arrangement

  • Check that the items are in the exact left-to-right order: stethoscope, dosage error note, lanyard.
  • Make sure you have collected all three objects.
  • If the pharmacy locker will not open, look for its clue first. The clinic reception code, 2896, is for an optional room and is not needed for this scales puzzle.

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