X-Ray Puzzle Guide

The Silent Hill 2 Remake X-Ray Puzzle in Brookhaven Hospital requires players to arrange radiographs on an X-Ray viewer. See how to solve this puzzle in light, standard, and hard difficulties, as well as how to find all radiographs in this guide!

X-Ray Puzzle Solution

Arrange the Radiographs to Get 4-37-12

To solve the X-Ray Puzzle, place the Radiograph of a Pelvis and Cleaned Up Radiograph along with the other radiographs as shown above. This will reveal the numbers 4, 37, and 12, which are all numbers used in the 3rd Floor Hospital Door Code.

Note that if you have the code above, you can skip the X-Ray puzzle entirely, and use the code directly on the locked Room D1 door across the hall.

3rd Floor Hospital Door Code

X-Ray Puzzle Hard Difficulty Differences

Puzzle Difficulty	Differences
Light & Standard	Markings on the viewer for all four radiographs are present. It is just a matter of aligning the markings to match the viewer's and the radiograph's.
Hard	Markings on the viewer will only be available for the skull and lungs radiograph. You will have to experiment and align the scratches so the pelvis and hand radiographs perfectly bridge the first two radiographs.

The code 4 - 37 -12 and the placement of all radiographs are the same for all difficulties, with the only difference being that the markings on some radiographs are not present on Hard puzzle difficulties.

Best Difficulty Settings and Differences

X-Ray Puzzle All Radiograph Locations

Get the Pelvis Radiograph and Memo on the Table

Before approaching the X-Ray viewer, get the Radiograph of a Pelvis on the table. It is part of the puzzle solution so it's good to have already.

Beside the Radiograph is a Doctor's Memo revealing that there is a fourth radiograph that you need to find to complete the puzzle.

Find the Moldy Radiograph in the Treatment Room

The Moldy Radiograph is located inside the Treatment Room on the second floor of the hospital, decaying in a bathtub. To access this room, you will need to use the code specific to your chosen Puzzle Difficulty to unlock the Nurses Station.

Nurses Station Keypad Code

Get the Mold Remover From the 1F Pantry

Once you've retrieved the Moldy Radiograph, you will notice that it is covered in mold. In this case, you must get the Mold Remover found on the insect-riddled trash chute in the first-floor Pantry.

Once obtained, combine the Moldy Radiograph and the Mold Remover in the inventory to produce a Cleaned Up Radiograph! Return to the X-Ray Room and align all of the radiographs together on the X-Ray viewer.

X-Ray Puzzle Location

In the X-Ray Room at Third Floor Brookhaven Hospital

The X-Ray Puzzle is found on the third floor of Brookhaven Hospital after breaking and entering through a window in Exam Room 5.

Brookhaven Hospital Walkthrough

X-Ray Puzzle Rewards

Code to Open Room D1 Lock

Solving the X-Ray puzzle gives players the numbers they can use to open the locked Room D1, also on the third floor of Brookhaven Hospital and just across the hallway.

The locked room itself contains the Filthy Bracelet, used in the Bracelet Puzzle also found in the hospital.

3rd Floor Hospital Door Code

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