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    SILENT HILL: Townfall X-Ray Puzzle — Skull & Chest Settings

    Align the camera, then set the X-Ray machine for the skull (kV 3, mA 7, Time 1) and chest (kV 7, mA 3, Time 1.2) scans in St. Amelia Medical Center.

    9/23/2026 Last updated: 9/24/2026 3 min read
    Verified Minor spoilers
    Location:
    St. Amelia Medical Center — X-Ray room
    Area:
    St. Amelia Medical Center
    Part:
    The Patient
    Chapter:
    Part 3 — Chapman Ward

    Quick solution: Skull: kV 3, mA 7, Time 1 — Chest: kV 7, mA 3, Time 1.2

    Reward: Head and Chest X-Rays — required to progress

    What are the X-Ray settings?

    Two scans, two sets of values — both from the X-Ray Dosage Table on the laptop beside the patient’s bed:

    Scan SITE kV mA Time
    Skull Skull 3 7 1
    Chest Chest 7 3 1.2

    If your table shows different numbers, you are reading a different row — match the row to the body part you currently have selected as SITE.

    X-Ray: align, scan, collect — original diagram of the steps explained below

    X-Ray: align, scan, collect

    Original guide diagram — not an in-game screenshot. Evidence and detailed steps are listed in this guide.

    Open full-size diagram

    How do I align the camera?

    Before the machine accepts any settings, the scan target must be aligned:

    1. Skull first — at the terminal, use the left stick to tilt the rig toward the head and the right stick to bring the face closer, until each of the four corner brackets sits over a white square around the head. The screen reads “Patient Skull – Aligned”.
    2. Chest second — move the camera down along the body (the raised part of the sheet marks the chest) and repeat the bracket alignment until “Patient Chest – Aligned” appears.

    What is the exact procedure?

    1. Flip POWER on at the machine.
    2. Align the camera (see above).
    3. Set SITE, then kV, mA and Time from the dosage table.
    4. Press the green button at the bottom right of the panel.
    5. Repeat for the second scan.

    Watch the X-Ray procedure

    This 100% Guides walkthrough starts at the creator’s X-Ray Puzzle chapter, 1:12. The earlier chapters cover the blood-pressure setup and the X-Ray door; use the links below the player to revisit those steps.

    100% Guides — Surgery Room X-Ray Puzzle Click to load the YouTube player — nothing loads before you click

    Watch on YouTube Source

    Where do the X-Rays go?

    Collect “Head and Chest X-Rays” from the printer to the right of the computer — it is a single pickup containing both films. Hang them on the wall-mounted light box beside the intercom in the surgery room and interact with each when prompted. From there the ward sends you hunting for medicines — the infusion puzzle picks up immediately after, and the Records Room holds one of the three doses.

    Why is my scan not completing?

    • The alignment is not finished — the “Aligned” banner must be on screen before the panel accepts values.
    • Values are set for the wrong SITE — skull values on a chest scan do nothing.
    • The green button was not pressed after entering a correct set.

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