Before you start
The scales are in the clinic’s Z Ellis office during Chapter 4: Searching for Zoe. Use the lanyard from Zoe’s house to enter the clinic. This guide covers the item hunt and arrangement, then stops at the completion cue.
Inspect evidence · 1 source
- Locate
- Chapter 4: clinic entrance, Resignation Letter and Puzzle #7
- Supports
- Chapter, clinic access and the room containing the scales.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
You choose how much to reveal
A nudge or the answer.
Start with a hint, follow the clue logic, or reveal the item hunt. The final scale arrangement stays in its own reveal.
Give me a hintWhere to look for the puzzle’s meaning.
A small hint
Read the letter beside the scales. Think about the failures it describes and which objects could represent them. You will need to investigate beyond this room.
Inspect evidence · 1 source
- Locate
- Placing the items on the scales: Resignation Letter
- Supports
- The letter provides the symbolic links used by this editorial hint.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
Explain the logicHow the letter relates to the task.
How the clue works
The letter connects listening, a professional mistake and suitability for a job to three objects. Read those ideas in order. The full placement reveal below names each object and its scale.
Inspect evidence · 1 source
- Locate
- What is the scale puzzle? and Where to place items
- Supports
- Three letter themes underpin the item mapping; this is a paraphrased hint.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
Find the itemsClinic leads, pharmacy pickup and Jess’s key; no scale order.
Collect the three items
- Preview / reporting
Keep Zoe’s Lanyard from the organ transport box. The Zoe’s house guide in Related help covers that earlier puzzle.
Inspect evidence · 1 source
Silent Hill Townfall: Medical clinic scales puzzle solution ↗ - Locate
- Collecting the items for the scales: first item
- Supports
- The organ box supplies the lanyard already used for clinic access.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
- Preview / reporting
In Z Ellis, read the computer’s Where Are You? email to mark Jess’s flat. Use the reception code shown by the computer to enter reception; listen to the answerphone to mark the pharmacy. GamesRadar says these two trips can be taken in either order.
Inspect evidence · 1 source
Silent Hill Townfall scales puzzle solution ↗ - Locate
- How to get what you need: computer and reception answerphone
- Supports
- The two map leads and reported freedom to choose either trip first.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
- Preview / reporting
Take the Scalpel from the green box beside the office computer. Use it at the pharmacy’s hatch door and the southern park entrance.
Inspect evidence · 1 source
Silent Hill Townfall Part 1 Arrival Collectible Locations ↗ - Locate
- Equipment: Scalpel; Locked Door – Pharmacy; Locked Door – St. Amelia Park
- Supports
- Scalpel pickup and the two doors it opens.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
- Preview / reporting
Open the pharmacy’s rusty locker, then pick up Prescription Dosage Error inside. The linked pharmacy guide has the separate hints and combination.
Inspect evidence · 1 source
Silent Hill Townfall Part 1 Arrival Collectible Locations ↗ - Locate
- Puzzle #6 and Key Item: Prescription Dosage Error
- Supports
- The item requires a pickup after the locker is open.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
- Preview / reporting
For Jess’s house, pass through St. Amelia Park toward Farrow Street. Her door note points to number 16. Upstairs in flat 1/2, collect the back-door key from the living-room table; return to Jess’s rear entrance.
Inspect evidence · 1 source
Silent Hill Townfall: Medical clinic scales puzzle solution ↗ - Locate
- Collecting the items: park route and number 16
- Supports
- The house note, key location and rear-entry route.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
- Preview / reporting
Unlock Jess’s back door and take the Broken Stethoscope from the bedroom bed. Return to Z Ellis in the clinic.
Inspect evidence · 1 source
Silent Hill Townfall Part 1 Arrival Collectible Locations ↗ - Locate
- Locked Door – Jess’s; Key Item: Broken Stethoscope; Puzzle #7
- Supports
- Back-door access, item pickup and return destination.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
Show the scale solutionThe left, middle and right arrangement.
Place the items on the scales
- Preview / reporting
Facing the scales in Z Ellis, the reported left / middle / right arrangement is: Broken Stethoscope / Prescription Dosage Error Note / Zoe’s Lanyard.
Inspect evidence · 2 sources
Silent Hill Townfall Part 1 Arrival Collectible Locations ↗ - Locate
- Chapter 4: Puzzle #7, clinic scales
- Supports
- The left, middle and right item placement.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
Silent Hill Townfall: Medical clinic scales puzzle solution ↗ - Locate
- Placing the items on the scales
- Supports
- The same placement and its relationship to the letter.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
Scale positions and letter themes Position Item Letter theme Collected from Left Broken Stethoscope Listening Jess’s bedroom Middle Prescription Dosage Error Note A professional mistake Pharmacy locker Right Zoe’s Lanyard Suitability for the role Zoe’s organ box - Preview / reporting
Place all three in that arrangement. GamesRadar reports a short cutscene after the final item; this guide stops before the following story sequence.
Inspect evidence · 1 source
Silent Hill Townfall scales puzzle solution ↗ - Locate
- Where to place items: completion paragraph
- Supports
- A cutscene follows the final placement; later events are outside this guide.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
If you are stuck
Item names vary in the guides: GamesRadar calls the lanyard Zoe’s ID card and the dosage note an incorrect prescription. PowerPyx names Jess’s key 21 Farrow St. – Back Door Key; number 16 is where you collect it, not its destination.
Inspect evidence · 3 sources
- Locate
- Item collection and scale list
- Supports
- The ID-card and incorrect-prescription terminology.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
- Locate
- Key Item: 21 Farrow St. – Back Door Key
- Supports
- The key’s inventory name.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
- Locate
- Collecting the items: number 16
- Supports
- Number 16 is the key pickup building.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
Compare your collected items with the item reveal and your placements with the solution. These are suggested checks, not tested fixes. Kingy has not verified item removal, wrong-placement recovery, skipped-clue triggers or reset behavior.
Inspect evidence · 1 source
- Locate
- Written item collection and placement sequence
- Supports
- A baseline to compare against, not evidence of failure recovery.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
Sources, verification and footage still needed
Source-checked · Not play-tested by Kingy. Written PowerPyx, GamesRadar+ and VGC guides support this page. Their images and recordings have not been reviewed. Platform, build, difficulty and input differences remain unverified.
Inspect evidence · 1 source
- Locate
- Written scales guide, checked September 25, 2026
- Supports
- The written-source scope of this guide; no Kingy gameplay evidence.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.
Footage still needed: an item-collection route clip, a short placement clip ending at the completion cue, and readable letter, inventory and scale stills. Capture wrong-placement recovery separately and record the platform, build, difficulty and controls. No instructional video or screenshots are supplied yet.
Inspect evidence · 1 source
- Locate
- Capture planning after reading the collection and placement sections
- Supports
- Kingy’s capture requirements; this written guide is not reviewed footage.
- Does not establish
- Written-source guidance only. Kingy has not play-tested this puzzle or reviewed gameplay footage or screenshots. Exact inputs, prerequisite triggers, wrong-item recovery, reset behavior and platform/build/difficulty variants remain unverified.