SILENT HILL: Townfall Infusion Puzzle — Medicine Locations & Pump Rates

What are the infusion pump settings?

For the 88 kg patient (the weight is written on the white board, and the dosage table rates are calibrated to it), set the three pumps to:

Medicine	Pump rate
Tensobromide	8
Dextracyclate	15
Hydroxalene	7

Jump to a medicine: Tensobromide · Dextracyclate · Hydroxalene.

All three medicines are game items in St. Amelia’s wards — nothing here involves real medicine.

Where are the medicines, and what do you need first?

Both walkthrough references we verified describe the same three rooms, and a fresh full read of each on 2026-09-24 confirmed they agree (earlier drafts of this page kept two conflicting room lists — that is resolved; the rooms below are the reconciled set):

Medicine	Where it is found	Dose
Tensobromide	Green medical box, Pharmacy Store, Victoria Ward ground floor	11mg
Dextracyclate	Infusion machine, Bay 6, Chapman Ward first floor	2.5mg
Hydroxalene	Cabinet (green medical box), Records Room, Chapman Ward ground floor	3mg

Prerequisite: the Records Room is locked — its keypad code (2605) comes from the “Dailies” noticeboard in the Chapman Ward first-floor office. That code has its own guide: Records Room code.

Use the hospital floor-and-room route map to keep the Victoria and Chapman pickups separate and plan the later basement trip for the Intubation Kit.

Wrong drug, wrong dose, or just a map marker?

Match both the medicine name and the dose on the item to the required list. Finding another medicine, or another dose, does not replace one of these three supplies. The number in mg identifies the required supply; the pump’s rate is a separate number from the 88 kg dosage-table column.

The upstairs computer’s Dailies - Infusion Status email marks issued drugs on the map. GamesRadar’s walkthrough notes that this includes drugs you do not need. A marker therefore means a place to inspect, not a confirmed correct pickup. Use the three room labels below to choose your destination.

Tensobromide

• Rate: 8. Found in the green medical box in the Pharmacy Store on the Victoria Ward ground floor — the medical center’s own pharmacy, not the Shorefront street shops.
• If the box is not where you expected, sweep the ward with the CRTV — signal static points at interactables.

Dextracyclate

• Rate: 15. Sitting in the infusion machine at Bay 6, first floor of Chapman Ward — walk the 1F corridor and check the bay machines until the prompt appears.

Hydroxalene

• Rate: 7. In the Records Room on Chapman Ward ground floor: open the metal cabinet and take the green medical box. The room needs the Records Room keypad code (2605) first — it is the medicine most runs miss.

How do I set and start the pumps?

1. Place each syringe into a pump — which pump holds which medicine does not matter; matching the numbers to the medicines does.
2. For each pump select SET RATE, enter that medicine’s number, confirm with the check mark.
3. Select READY PUMP — repeat until all three pumps read ready.
4. Start the sequence at the small control monitor on the tray beside the bed.

Check the treatment before starting

Match each medicine label to its rate, confirm every pump and only then start the bedside monitor. Read the clues before starting rather than using an active treatment to try different settings.

A community blueprint analysis reports that treatment mistakes can affect the main-ending score and that a wrong running pump setup can count more than once. This site has not reproduced that behavior or its timing. See the reported ending-score explanation for the source and limits (ending spoilers).

Collected, configured or running?

Current state	What it means	Next action
Medicine is in inventory	You have found the supply, but have not prepared a pump	Insert it into a pump
The correct number is entered	The rate still needs its confirmation and readiness step	Confirm the check mark, then select READY PUMP
All three pumps are ready	The pumps are prepared, but the procedure has a separate start control	Use the tray monitor beside the bed
Procedure is complete	The next objective is the Intubation Kit, not another rate	Follow the Reception / Storage route below

Treat these as separate checkpoints. Carrying all three medicines does not mean three pumps are ready, and preparing them does not press the final start control.

Watch the pump sequence

100% Guides demonstrates the surgery-room pump puzzle. The chapter links below follow the creator’s four step markers. For medicine locations and their prerequisites, use the table above.

The puzzle will not start — what now?

• A pump has no medicine — check that you inserted the syringe. If the medicine and rate are present but it is not ready, confirm the rate and select READY PUMP.
• A rate was entered for the wrong medicine — the numbers are per-medicine, not interchangeable.
• You have not collected all three medicines yet: Hydroxalene behind the Records Room door is the usual culprit.

After the pumps complete, Dr. Glenn sends you for the Intubation Kit: call Hospital Storage 5353 at Reception to unlock the basement elevator. Complete the procedure before the Medical Centre changes and the blood transfusion sequence begins. Keep a save before the transition.