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The Silent Hill: Townfall pharmacy locker code is 6539. Enter it on the rusted four-digit locker in the pharmacy’s back room after registering the CRTV broadcast clue sequence.
How to reach the pharmacy locker
- In the Clinic’s Z Ellis room, take the Scalpel from the green medical case beside the computer.
- Use the Scalpel on the covered hatch in the pharmacy’s rusted exterior door to enter.
- Find the rusted four-digit locker in the back room.
The Scalpel opens the pharmacy entrance; it is not part of the locker combination.
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How the pharmacy locker code works
Tune the pharmacy CRTV until the signal is clear, then let its broadcast play. It shows four poster fragments in a specific order. Match them to the full posters around the pharmacy, and use the broadcast order—not the order in which you visit the posters—to enter the digits.
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- 6: The hand-washing poster in the bathroom shows three fingers on each illustrated hand: six total.
- 5: The prescription safety poster near the phone and window has five steps.
- 3: The nurse consultation poster near the front window indicates a blood-pressure gauge value of three. Use the gauge, not the nearby clock or another number.
- 9: The antibiotic poster on the noticeboard by the lockers shows a blister pack with one pill missing, leaving nine.
Enter the digits left to right as 6539.
If 6539 does not open the locker
- Check that you are using the rusted four-digit locker in the back room, not a pharmacy cabinet or the entrance hatch.
- Tune and store the CRTV broadcast, then allow the clue sequence to play. Walkthroughs report that the clues may need to be registered before the code works, even if you already know it.
- Use the broadcast’s order for the four clues rather than the order you found the posters.
- After the door opens, interact with the locker again to collect the item inside.
Guides published or updated September 21–25, 2026, agree on this solution. They do not establish whether the code varies by save, difficulty, or platform, so follow the current in-game clues if a later patch changes the puzzle.
#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
What is inside the locker?
The locker contains the Prescription Dosage Error Note. It is one of three items for the Clinic scales and belongs in the middle position; the other items are Zoe’s Lanyard and the Broken Stethoscope.
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- 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
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- The dodging is tension, the battles are hectic and the story-based puzzles reveal a truth that does not want to remain hidden
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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
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