During Part 3: The Patient in Silent Hill: Townfall, you’ll need to operate an X-ray machine and take scans of the patient’s skull and chest. The puzzle requires you to enter a code to access the X-ray room, correctly align the camera, and use different machine settings for each scan. Here is how to solve the X-ray puzzle in Silent Hill: Townfall.
How to Enter the X-Ray Room in Silent Hill: Townfall
The X-ray puzzle is one of the trickiest ones in the whole of Silent Hill: Townfall. At the start, after reporting the patient’s vital signs to Dr. Glenn, you’ll receive the code needed to access the X-ray room. Here is what you need to do after that to enter the X-ray room:
- Go to the locked door at the back of the surgery room.
- Enter 7103 into the keypad.
- Enter the X-ray room and turn on the computer.
- Turn on the Zeimann X-ray machine.
- Check the X-Ray Dosage Table on the nearby laptop for the required settings.

How to Take the Skull X-Ray
Use the computer to control the X-ray camera and move it toward the patient’s head. Adjust the camera until the four corner markers line up with the white squares around the patient’s skull. When positioned correctly, the computer displays Patient Skull – Aligned. Set the X-ray machine to:
- Site: Skull
- kV: 3
- mA: 7
- Time: 1
Turn on the machine and press the green Alignment X-ray button to take the scan.
How to Take the Chest X-Ray
After taking the skull X-ray, use the computer to move the camera down toward the patient’s chest. Adjust the camera until the four corner markers line up with the white squares and the screen displays Patient Chest – Aligned. Change the machine settings to:
- Site: Chest
- kV: 7
- mA: 3
- Time: 1.2
Press the green Alignment X-ray X-ray button to take the second scan.
What to Do With the X-Rays
Once both you have completed both of the scans, do the following:
- Collect the Head X-ray and Chest X-ray from the printer.
- Return to the main surgery room.
- Place both X-rays on the lightboard beside the intercom.
- Examine the scans to continue the Patient section.
Silent Hill: Townfall X-Ray Puzzle FAQ
A: The code is 7103.
Q: What are the Skull X-ray settings?
A: Set the machine to Chest, 7 kV, 3 mA, and 1.2 seconds.
Q: How do I know when the X-ray is aligned?
A: Set the machine to Chest, 7 kV, 3 mA, and 1.2 seconds.
Q: How do I know when the X-ray is aligned?
A: The computer displays Patient Skull – Aligned or Patient Chest – Aligned when the camera is positioned correctly.
To summarize, the X-ray puzzle in Silent Hill: Townfall is mostly about getting the camera position and machine settings right. Once you’ve taken both scans, put them on the lightboard in the surgery room to move on to the next part of the Patient section. Also, for more helpful content, be sure to visit the Guides category here at Gamepur.
Published: Sep 28, 2026 02:17 am