The Silent Hill 2 Remake Hospital Box Code puzzle, or Chained Box, is opened using the codes 1622 and 9659, and the Lapis Eye Key. See how to get the codes and key in light, standard, and hard difficulties, what to do during Watch It Go Dark, and more in this guide!

Hospital Box Code and Solution

Chained Box Codes are 1622 and 9659

The Hospital Box Code is 1622 for the Combination Lock, and 9659 for the Keypad. Aside from the codes, the Lapis Eye Key is also needed, and is obtained from a dummy in Exam Room 4. Note that the codes are the same across all puzzle difficulties.

▼ Jump to Lapis Eye Key Location ▼

Hospital Box Code Puzzle Guide

1. Get the Keypad Code
2. Get the Combination Lock Code
3. Collect the Lapis Eye Key

Get the Keypad Code

Step	Objective
1	Enter the Laundry Room on the second floor of Otherworld Brookhaven Hospital. You will need to break a wall along the south hallway to get in.
2	Push the cabinet blocking the exit on the north side of the room and grab the cart in the corner before leaving.
3	Place the cart under the window found on the wall across the hall so that you can reach it and enter room L3.
4	Go into the Observation Room and pick up the Director's Office Key.
5	Enter the Director's Office and climb up the ladder behind the desk to get into Room 17 on the third floor. You will find a Treatment Stretcher in this room.
6	Exit Room 17 and head for the room next to the elevator. Activate the generator found inside.
7	Go back to Room 17 and power up the Treatment Stretcher. A set of numbers will light up on the Treatment Stretcher revealing the code for the keypad on the Chained Box.
8	Return to the Chained Box and enter the code 9659.

Get the Combination Lock Code

Step	Objective
1	Enter the second floor Restroom and head into L1 from there.
2	Head to M3 and break through the western wall to enter M2. You will find several clues for the Chained Box lock code here.
3	Pick up the Calendar Page memo. This will serve as your clue to the Chained Box combination code.
4	Check the sink and count the number of pills for the code's second digit.
5	Look through the hole in the wall that has watch it go dark written on it. Count how many times the light blinks for the fourth digit.
6	Look through the broken glass on the door and you'll see a clock in room M1.
7	Head over to M1 and interact with the clock. For the third digit, set the hand to 2 and it will trigger an alarm. Get ready to fight off several enemies.
8	Return to the Chained Box and enter the code 1622 for the Combination Lock.

Note that each line of the poem refers to an object listed above that players will have to examine to piece together the code. The first line about the year gives the number 1, followed by the pills referring to the 6 pills in the sink.

The loud hour means the clock in Room M1 going off when set to 2, and the light falling means the 2 times the light blinks when peeking through the hole in the wall that says “Watch It Go Dark”.

Collect the Lapis Eye Key

Step	Objective
1	Go into the Women's Locker Room on the second floor through the Nurses' Lounge.
2	Exit the Women's Locker Room then take the stairs to get to the third floor.
3	Head to Exam Room 4 and pick up the Instrument of Force. Use it on the nearby medical dummy that's sitting in a surgical chair.
4	Go to the northwest corner of the map and break a wall to enter Room D2. Go down the ladder in this room to reach the Pantry on the first floor.
5	Enter the room directly south of the stairs and pick up the Key of Bliss.
6	Head back to the surgical chair in Exam Room 4 and use the Key of Bliss on the medical dummy to collect the Lapis Eye Key.
7	Return to the Chained Box and use the Lapis Eye Key.

Hospital Box Code Puzzle Location

Found in Room L3 of Brookhaven Hospital Otherworld

The Chained Box is found while exploring the Brookhaven Hospital Otherworld, directly west of Room L3. Solving the puzzle is mandatory as it is required to continue progressing the story.

Brookhaven Hospital Otherworld Guide

Hospital Box Code Puzzle Rewards

Get the -1 Elevator Button

Opening the Chained Box with the Hospital Box Code and key will trigger a short cutscene, which reveals that the box is empty. Shortly after this, a cloth drops from the wall to reveal a statue with a -1 Elevator Button.

Hospital Elevator Quiz Answers

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