The X-Ray puzzle in Silent Hill: Townfall throws you into one of the more technical moments of the Surgery section, and it is surprisingly easy to get stuck. You are not just operating the Zeimann X-ray machine. You also have to control a separate computer to position the patient correctly before either scan will work.

The game does give you everything you need to solve it, but the process can feel confusing when you are switching between the machine, the positioning computer and the information found elsewhere in Surgery. The biggest trap is that the skull and chest scans use different kV and mA combinations, so simply copying the first successful setup will not work for the second scan.

During the Patient sequence, you need to complete two X-rays: one of the patient’s skull and another of the chest. You also need to obtain the correct door code to enter the X-ray room. Once both scans are finished, the printed films have to be taken back to Surgery and placed on the board beside the intercom before this part of the sequence is complete.

Here is the complete solution, including the X-ray room code, exact Zeimann settings, camera alignment requirements, film location and what to do when the green X-ray button refuses to activate.

Silent Hill: Townfall X-Ray Puzzle Answers

For players who just want the exact solutions before getting into the full walkthrough, these are the settings you need:

Requirement	Solution
X-Ray room code	7103
Skull site	Skull
Skull kV	3
Skull mA	7
Skull time	1 second
Skull alignment	Patient Skull – Aligned
Chest site	Chest
Chest kV	7
Chest mA	3
Chest time	1.2 seconds
Final step	Place both X-ray films on the board beside the intercom

The key detail is the kV and mA swap. For the skull, you need 3 kV and 7 mA. For the chest, those values reverse to 7 kV and 3 mA. The exposure time also changes from 1 second for the skull to 1.2 seconds for the chest.

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How to Unlock the X-Ray Room

Before you can start scanning, you need to complete the relevant part of the Patient sequence in Surgery.

After finishing the patient-vitals section, check the pager for the next door code. The X-ray room is accessed through the door on the right side of the Surgery area.

Enter:

7103

The door will open, giving you access to the Zeimann X-ray machine and the computer used to position the patient for the scans.

Once inside, you need to work with both pieces of equipment. The X-ray machine handles the actual exposure settings, while the computer lets you move the camera and line up the patient’s body correctly.

Find the X-Ray Dosage Table Before You Scan

You do not have to randomly experiment with the Zeimann machine.

Before taking either X-ray, go back to the laptop beside the patient’s bed in the main Surgery room and check the X-Ray Dosage Table. This provides the correct settings for the different parts of the body.

For this puzzle, the two entries you need are:

Scan	Site	kV	mA	Time
Skull	Skull	3	7	1
Chest	Chest	7	3	1.2

These values need to be entered on the Zeimann X-ray machine before you take the corresponding scan.

This is also where the puzzle’s most obvious trap comes in. The machine settings are not identical for both procedures. The skull and chest use opposite kV and mA values, while the time changes from 1 to 1.2.

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How to Take the Skull X-Ray

Start with the patient’s skull.

Inside the X-ray room, turn on the computer and the Zeimann machine. Then configure the machine with these settings:

• Site: Skull
• kV: 3
• mA: 7
• Time: 1

Once the machine is ready, switch over to the computer to position the patient.

Move the camera upward toward the patient’s head and zoom in. You need to adjust the view until the markers on the screen line up with the white targets around the patient’s skull.

Keep making small adjustments until the computer displays:

Patient Skull – Aligned

That confirmation is important. It tells you the patient’s head is positioned correctly for the scan.

Once the alignment message appears, return to the Zeimann machine and press the green X-ray button to take the skull scan.

Do not move on to the chest settings until the skull exposure has been completed.

How to Take the Chest X-Ray

Now comes the second scan, and this is where the machine settings change.

Set the Zeimann machine to:

• Site: Chest
• kV: 7
• mA: 3
• Time: 1.2

Notice that the kV and mA values have switched compared with the skull scan. This is the easiest mistake to make during the puzzle.

After changing the machine, return to the computer and reposition the camera.

Move the camera downward toward the patient’s chest and zoom in. Just like with the skull, use the markers and white targets to line up the image correctly.

Keep adjusting the camera until the computer displays:

Patient Chest – Aligned

Once that message appears, return to the Zeimann machine and press the green X-ray button again.

The second scan should now be taken.

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Where to Collect the X-Ray Films

Taking the two scans is not the final step.

After completing both exposures, check the printer beside the computer inside the X-ray room. The two printed films you need are:

• Skull X-ray
• Chest X-ray

Collect both films before leaving the room.

The puzzle will not be finished simply because the scans were successfully taken. You still need to bring the printed X-rays back to the main Surgery area.

Where to Put the X-Rays in Surgery

Return to the main Surgery room with both printed films.

Look for the board beside the intercom and place both X-ray films on it.

Once they are positioned correctly, interact with the films when prompted.

That completes the X-ray portion of the Patient sequence and allows the story to move forward to the next objective.

From there, Silent Hill: Townfall moves you toward the next part of the medical-centre investigation and the supplies needed to continue.

X-Ray Troubleshooting: Why Won’t the Scan Activate?

Getting the settings right is only half of the puzzle. The patient also has to be positioned correctly.

So, when the green button refuses to take the X-ray, do not immediately assume the machine is broken. Check both the machine settings and the alignment confirmation.

For the skull, verify all of the following:

• Site: Skull
• kV: 3
• mA: 7
• Time: 1
• Computer confirmation: Patient Skull – Aligned

For the chest, verify:

• Site: Chest
• kV: 7
• mA: 3
• Time: 1.2
• Computer confirmation: Patient Chest – Aligned

Both the machine configuration and the patient’s positioning need to be correct.

The most common mistake is mixing up the skull and chest kV/mA values. Keep this simple:

Skull = 3 kV / 7 mA / 1 second

Chest = 7 kV / 3 mA / 1.2 seconds

If the machine still does not activate after checking those numbers, return to the computer and make sure the correct alignment message is visible.

For the skull, you need Patient Skull – Aligned.

For the chest, you need Patient Chest – Aligned.

Once the appropriate message is displayed and the corresponding machine settings are correct, you can return to the Zeimann machine and use the green X-ray button.

What Happens After the X-Ray Puzzle?

Once both scans have been taken, collect the two printed films from the printer and return to Surgery.

Place the Skull X-ray and Chest X-ray on the board beside the intercom, then interact with them when prompted.

That completes this section of the Patient sequence.

With the X-ray portion finished, the game moves you toward the next stage of the medical-centre investigation and the supplies required to continue. So, once the films are on the board and you have interacted with them, you can move on rather than continuing to search the X-ray room for another step.

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Silent Hill: Townfall X-Ray Puzzle Quick Answers

What is the X-ray room code?
The code is 7103.

What are the skull X-ray settings?
Use Skull, 3 kV, 7 mA and 1 second.

What are the chest X-ray settings?
Use Chest, 7 kV, 3 mA and 1.2 seconds.

Where can I find the dosage settings?
Check the X-Ray Dosage Table on the laptop beside the patient’s bed.

How do I align the skull?
Move the camera upward toward the patient’s head, zoom in and line up the markers with the white targets around the skull until the computer displays Patient Skull – Aligned.

How do I align the chest?
Move the camera downward toward the patient’s chest, zoom in and line up the markers with the white targets until the computer displays Patient Chest – Aligned.

Where do I put the X-ray films?
Take both printed films back to Surgery and place them on the board beside the intercom. Interact with the films once they are positioned to continue the Patient sequence.

The entire puzzle ultimately comes down to remembering two different machine configurations and making sure the camera alignment matches the scan you are attempting. Keep the skull and chest values separate, wait for the correct alignment confirmation, and remember that collecting the films and placing them back on the Surgery board is the final step.

Disclaimer: This guide is intended to provide gameplay assistance and may contain minor progression spoilers.

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Image Credits:

• Featured Image: Konami / Screen Burn Interactive
• Image 2 Credit: Konami / Screen Burn Interactive