Silent Hill: Townfall Chapters and Story Route
A spoiler-marked chapter overview with links to the puzzles that block each major section.
Main route overview
The story moves through St. Amelia in connected sections rather than a traditional open-world map. The major route beats covered by this guide are:
- Arrival and the first CRTV signals.
- The clinic and the scales puzzle.
- The Patient, including the X-ray room and medicine route.
- CEG and the AUX room valve puzzle.
Where to get help
Use the full walkthrough for the order of objectives. The puzzle index contains direct solutions for the pharmacy locker, blood door, scales, AUX valves, and X-ray room.
Story decisions
Keep a save before major conversations and route changes if you want to compare outcomes. The Silent Hill: Townfall endings guide collects the current ending information separately from the main route.