Gaming & Live Streaming

How to solve the blood transfusion puzzle in Silent Hill Townfall

Here's how to obtain the missing blood bags and open the blood transfusion door in Silent Hill: Townfall

AAdmin
September 24, 2026
4 min read
How to solve the blood transfusion puzzle in Silent Hill Townfall

By Marloes Valentina Stella Published Sep 24, 2026, 12:01 AM EDT Guides Where to find the blood bags and open the door in "Many Into One"

Image: Screen Burn/Konami, Annapura Interactive Add Us Summary Generate a summary of this story Jump links Jump Links Blood transfusion puzzle walkthrough in Silent Hill: Townfall Find the missing blood bags in Silent Hill: Townfall How to solve the blood bag puzzle in Silent Hill: Townfall How to solve the blood transfusion door puzzle in Silent Hill: Townfall Like Like follow Follow followed Followed Thread Log in Here is a fact-based summary of the story contents: Try something different: Show me the facts Explain it like I’m 5 Give me a lighthearted recap The blood transfusion puzzle in Silent Hill: Townfall is more difficult than scary, and that's saying something, as this challenge takes place in a dark and monster-ridden hospital. To solve the blood transfusion puzzle, you must find the missing blood bags, place the blood bags in the correct slots, and find a connection between blood types.

Here's where to find the blood bags and how to complete the blood transfusion door puzzle in Silent Hill: Townfall 's "Many Into One" mission.

During the "Many Into One" mission in Silent Hill: Townfall , which follows the patient puzzle, you will stumble upon a large, locked door. Grab the map from the counter in front of the door, and you'll find that it's called the blood transfusion machine . The machine draws blood from the blood bags attached to the walls on your left and right.

Graphic: Marloes Valentina Stella/Polygon | Source images: Screen Burn/Konami, Annapura Interactive There are three empty blood bag slots ; if you fill them up, you will solve the blood transfusion puzzle and the door will open. To complete the full blood transfusion door puzzle, you must complete the following steps:

Take the eastern corridor and enter the last room to the right. Crawl through the vent in the southwest corner (location 1 on the map below) to find Alan Duncan's blood bag (location 2). Be sure to grab Zoe's patient list and play the recording before leaving this room. Attach Alan Duncan's blood bag to the door in the west corridor (location 3). Now you can enter the west wing .

Graphic: Marloes Valentina Stella/Polygon | Source images: Screen Burn/Konami, Annapura Interactive If you took Zoe's patient list in Alan Duncan's room, the locations of the next two blood bags are marked on your map: Sarah Watson's blood bag is in room 05 (southwest) , while Lesley Greer's blood bag is in room 12 (northeast) . As room 12 is inaccessible for now, pass through rooms 3 and 4 to avoid the monster, grab Sarah Watson's blood bag in room 5 (location 1 on the map below), and head down the staircase in the west.

On the lower level, sneak past the monsters into room 4 (location 2), where you must collect the Ward W Master Key . Be careful; you can't kill the monsters, and you will die instantly if they grab you. This key can be used to unlock room 13 (location 3), where you must take the ladder upward. From there, you can enter room 12 and grab Lesley Greer's blood bag (location 4).

Graphic: Marloes Valentina Stella/Polygon | Source images: Screen Burn/Konami, Annapura Interactive Return to the area with the blood transfusion machine and use Lesley Greer's blood bag to enter the east wing . Distract the monster to sneak into room 3 (location 1 on the map below), from whence you can enter room 2. Matthew Clark's blood bag…