SILENT HILL: Townfall Save It For The Patients Trophy Guide

What does Save It For The Patients ask for?

Complete both of Zoe’s chapters — Chapter 5 (Zoe: Rounds) and Chapter 7 (Zoe: The Patient) — without using a single healing item. They are the only two stretches of the game playable as Zoe, which is what makes this a contained two-chapter challenge rather than a whole-run rule.

What voids the attempt — and what does not

• Voids it: consuming any healing item inside either chapter.
• Different actions: collecting supplies and performing the required patient-treatment puzzles are not instructions to heal Zoe. Phone saving has its own separate trophy restriction.
• Reloading after a heal: the checked source does not document how every death or autosave handles that history. Do not assume a death erases it.

Medical items: check the action, not just the name

Item or action	What to do on this challenge
Gauze or Sterilized Gauze	Leave unused for restoring Zoe’s health.
Alcohol	A crafting ingredient; collecting it is distinct from consuming the resulting heal.
Dextracyclate, Hydroxalene, Tensobromide	Use in the required infusion procedure.
Infusion pumps and Medical Intubation Kit	Complete the patient-treatment objectives normally.
An unfamiliar medical pickup	Check its inventory action; do not classify it from its name alone.

PowerPyx’s Part 3 route places the trophy after the required treatments. Its crafting section identifies Sterilized Gauze as a heal. This table applies those published distinctions; it is not an independently tested inventory whitelist. For recipes, see healing and crafting.

Where the actual risk sits

1. Chapter 5, first playthrough: no melee weapon. Zoe cannot fight her way through Rounds on a first run — avoidance is the intended tool. Keep distance, use the environment, accept slow routes.
2. Grabs are the damage spike. On Story difficulty enemies do little damage unless they grab you; the roadmap’s advice amounts to “don’t get grabbed” — walk wide of patrols rather than testing their reach.
3. Muscle-memory healing. The habit of patching up after every hit is the real killer. Either don’t open the consumables menu inside the chapters, or play the two chapters in one sitting with the rule in mind.

How to set the attempt up

• On a standalone no-healing attempt, save before each chapter — saving is allowed for this trophy, and an earlier slot gives you a retry point (save points). Skip this if combining it with Reject The Help.
• Story difficulty is the sane choice — the list has no difficulty gate and Zoe’s light-damage window makes avoidance forgiving.
• Scheduling: this pairs cleanly with a Reject The Help run (no manual saves) since the two rules don’t conflict — but it also stands alone on a normal collecting run, provided you switch the healing habit off for exactly those two chapters.

If it fails

If you consumed a heal, use a save from before that action, keeping the earlier slot. A save made after the heal is not a clean retry point. Our pre-chapter save advice is a recovery precaution, not a tested guarantee about hidden counters. Replay time depends on where your usable save is.

What this page rests on

Chapter scope, the no-melee detail, the grab-damage behavior and the difficulty context all come from PowerPyx’s roadmap, rechecked on 2026-09-29, together with its Part 3 treatment route — source-checked, one publisher chain, no run performed on this site. The save-banking setup is editorial, from the published missables guide.