Silent Hill: Townfall starts throwing strange puzzles at you almost immediately, and the pharmacy locker is one of those moments where the game seems deliberately determined to make you second-guess everything. You’re given a locked locker, a four-digit combination, and a bizarre CRTV sequence showing blurry, heavily zoomed-in images.
At first, those images can look completely random. They aren’t.
The CRTV is actually directing you toward several posters scattered around the pharmacy. Each poster contains a number that gives you one digit of the locker combination. Once you connect the footage to the posters and follow their order, the mystery becomes much easier to crack.
Here’s exactly how to solve the Silent Hill: Townfall pharmacy locker puzzle, where to find every clue, and what you get after entering the correct code.
What Is the Pharmacy Locker Code in Silent Hill: Townfall?
The Silent Hill: Townfall pharmacy locker code is 6539.
The combination comes from four posters located in different parts of the pharmacy. The CRTV footage shows these posters in a specific sequence, and the number associated with each poster becomes one digit of the final code.
Follow the clues in this order:
| Poster | Location | Digit |
| Washing My Hands | Bathroom | 6 |
| Prescription Drugs and You | Hallway to the right of the phone | 5 |
| Blood Pressure | Near the front window | 3 |
| Taking Antibiotics | Noticeboard beside the lockers | 9 |
Put the four digits together in the same order shown by the CRTV footage and you get 6539.
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1. Find the Washing My Hands poster for the first digit
The first clue takes you to the pharmacy bathroom.
Look for the Washing My Hands poster. This is the first poster represented in the CRTV footage, and it gives you the first digit of the combination: 6.
This is the point where the strange video starts making more sense. Instead of treating the blurry footage as a conventional message, pay attention to the objects and posters it is showing. The game is essentially pointing you toward physical clues in the pharmacy.
Once you identify the bathroom poster, you have the first number: 6.
2. Check Prescription Drugs and You for the second digit
Next, move into the hallway area to the right of the phone.
There, you’ll find the Prescription Drugs and You poster. This is the second clue shown by the CRTV sequence and provides the next number: 5.
The visual information on the poster is what connects it to the combination. You don’t need to treat the CRTV sequence as a random collection of images. Each shot is directing you toward a specific poster, and each poster contributes another digit.
With the first two clues solved, the code is now 65.
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3. Use the Blood Pressure poster to get 3
The third clue is located near the pharmacy’s front window.
Look for the Blood Pressure notice. This one is a little easier to recognise because the relevant number is displayed on the blood pressure machine shown on the poster.
That number is 3, giving you the third digit of the locker combination.
At this point, your sequence is 653.
4. Check Taking Antibiotics for the final 9
For the final digit, head to the noticeboard beside the lockers.
The clue you need is the Taking Antibiotics poster. It contains a packet with nine pills still inside.
That gives you the final number: 9.
With all four clues connected in the order presented by the CRTV footage, the complete pharmacy locker combination is:
6539
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Enter 6539 into the pharmacy locker
Now that you have the combination, enter 6539 into the pharmacy locker.
The reward is important for your progression. Inside the locker is the prescription mentioned on the answering machine after you open the reception door in the clinic.
This means the locker isn’t simply hiding an optional collectible or a piece of environmental lore. The prescription is one of the items you need for the three scales puzzles in the same location.
So, once you’ve opened the locker and collected the prescription, you have another important piece of the clinic puzzle chain.
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What to do after getting the prescription
After collecting the prescription, you can continue working through the scales puzzles in the clinic.
There is another location you’ll need to visit as part of the later puzzle sequence: Jess’ flat.
If you haven’t visited it yet, the address can be found by reading the emails on the computer in the clinic. Visiting Jess’ flat becomes important for the final part of the scales puzzle.
That makes the pharmacy locker puzzle part of a larger progression rather than a standalone combination lock. The CRTV footage sends you toward the posters, the posters give you the four digits, the 6539 combination opens the locker, and the prescription inside helps you continue with the scales puzzles.
The biggest trick is simply understanding what the CRTV footage is actually doing. Its blurry, heavily zoomed-in images can make the sequence look meaningless at first, but the game is showing you specific posters around the pharmacy.
So, when the footage starts looking like a collection of random images, focus on identifying the posters rather than trying to interpret the video as a normal message. Once you connect each image to its corresponding poster and follow the sequence, the pharmacy locker code becomes clear:
Washing My Hands = 6 → Prescription Drugs and You = 5 → Blood Pressure = 3 → Taking Antibiotics = 9.
Final code: 6539.
Image Credit:
- Featured Image: Konami / Screen Burn Interactive / Annapurna Interactive
- Image 2: Konami / Screen Burn Interactive / Annapurna Interactive
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