Silent Hill Townfall Scales Puzzle Guide: Find Every Item and Set the Correct Order

The scales puzzle is one of the first extended objective chains in Silent Hill Townfall. It begins in the Clinic, but completing it requires more than simply examining the three empty scales in front of you. You will need to interpret a note, revisit information in the building, travel to two separate locations, open a pharmacy locker, and collect three items that represent the clues left behind.

The good news is that the final solution is straightforward once every item is in your inventory. The potential confusion comes from the order in which the game introduces the leads: when you first discover the puzzle, you possess only one of the three required objects. This guide covers where the scales are, how to unlock the routes to the remaining items, the optional detour worth making along the way, and exactly which object belongs on each scale.

Where to find the scales puzzle

The puzzle is located in the Z Ellis office inside the Clinic. This is the same office tied to the Clinic reception door code. Enter the room and look directly in front of the door to find three scales positioned on boxes. A note is posted nearby, just to the left of the setup.

Read that note carefully. Several portions are underlined, and those marked phrases are the actual framework for the puzzle:

For useful background on this topic, read Silent Hill Townfall vital signs puzzle Guide: Blood Pressure, Pulse and O2 Answers.

• "I didn't listen closely enough."
• "I made mistakes and couldn't focus on the task at hand."
• "I'm not fit to work in this role any longer."

The note also ends with an underlined request asking you to demonstrate your understanding. In practical terms, the three scales are asking for physical evidence connected to each admission. The scales are arranged in the same sequence as the three clue statements, from the first scale through the third.

At this point, do not worry if you can identify only one answer. That is expected. The game sends you out to gather the other two objects before the mechanism can be completed.

The three items required for the puzzle

To finish the scales puzzle, collect the following items:

• Broken stethoscope -- represents failing to listen closely enough.
• Incorrect prescription -- represents making mistakes while carrying out the task.
• Zoe's ID card -- represents no longer being fit for the role.

You should already have Zoe's ID card when you reach the scales. It is obtained by solving the organ box puzzle earlier in the game. This means the third scale can technically be filled immediately, though it is simplest to wait until all three objects have been collected so you can finish the sequence at once.

The stethoscope and prescription each have their own destination and route. You can tackle those two objectives in either order; neither one depends on having completed the other.

How to unlock Jess's Flat and the Pharmacy

Before leaving the Clinic, make sure you have examined the relevant interactive points. The computer in the Z Ellis office contains an email titled "Where are you". Reading it marks Jess's Flat on your map. That is where you will find the stethoscope.

The Pharmacy is added through a different interaction. After using the Clinic reception door code, locate and check the reception answerphone. This places the Pharmacy on the map, providing the lead for the incorrect prescription.

If either destination is missing from the map, return to the Clinic and verify that you have read the email and listened to or examined the answerphone. The scales themselves do not provide the map markers; those nearby pieces of Clinic information do.

Getting the broken stethoscope from Jess's Flat

The broken stethoscope is the answer to the first statement, "I didn't listen closely enough." It is located on a bed in Jess's Flat, but reaching the building involves a small trip through the surrounding area.

Use the scalpel to open the gate leading into St Amelia's Park. On the route, stop at Number 16. You need an item there before you can access Jess's Flat properly.

Find Jess's backdoor key at Number 16

Head into the upstairs flat at Number 16 and search the table near the window. You will find Jess's backdoor key there. Take it, then continue around to the rear entrance of Jess's Flat. The key opens the way inside.

Once you are in Jess's Flat, look in the bedroom. The broken stethoscope is on the bed. Pick it up and the first part of the scales riddle is resolved.

Do not miss the lock box detour

There is also a useful side interaction tied to this route. The ground-floor flat at Number 16 contains a lock box, while a lock box key can be found in a kitchen drawer at Jess's Flat. Since you pass through these locations while pursuing the stethoscope, it is a good idea to collect the key in Jess's kitchen and return to open the box at Number 16 before moving on.

This lock box is not required for placing the three scale items, but collecting its key while you are already in Jess's Flat avoids an unnecessary return journey. As a general rule for this stretch of Townfall, check drawers and nearby rooms before immediately leaving a location after obtaining a quest item.

How to get the incorrect prescription at the Pharmacy

The second item, the incorrect prescription, is found at the Pharmacy. It corresponds to the clue about making mistakes and losing focus during the task at hand.

First, use the scalpel to gain entry to the Pharmacy. Inside, the key obstacle is a locked locker. Opening it requires solving the Pharmacy locker code puzzle rather than finding a conventional key.

The combination is built from numbers visible on posters around the Pharmacy. The challenge is not just spotting those numbers: you must use the TV signal to determine their correct order. Examine the wall posters for the numerical information, then use the signal's guidance to arrange the digits into the locker combination.

Because the environmental clue determines the sequence, entering poster numbers in the order you happen to encounter them may not work. If the locker remains shut, revisit the TV signal and confirm that you have translated its ordering instruction correctly. Once the correct code is entered, the locker opens and you can collect the incorrect prescription.

With the prescription in hand, you now have every object required for the Clinic scales: the stethoscope from Jess's Flat, the prescription from the Pharmacy, and Zoe's ID card from the earlier organ box puzzle.

Silent Hill Townfall scales puzzle solution

Return to the Z Ellis office in the Clinic and approach the three scales. The order is dictated by the note's underlined admissions. Place one item on each scale as follows:

1. First scale: Broken stethoscope -- "I didn't listen closely enough."
2. Second scale: Incorrect prescription -- "I made mistakes and couldn't focus on the task at hand."
3. Third scale: Zoe's ID card -- "I'm not fit to work in this role any longer."

The crucial detail is that this is an association puzzle, not a weight-balancing exercise. You are not comparing the size or apparent heaviness of the objects. Each scale represents a particular confession in the note, and the correct solution is based entirely on what each collected item symbolizes.

After placing the last item in its proper position, a short cutscene plays and the story advances. This closes out the Clinic scales sequence and leads into the next set of challenges.

Quick checklist before you return to the Clinic

If you are standing at the scales and are unsure what remains, use this checklist:

• Read the "Where are you" email on the Z Ellis office computer to mark Jess's Flat.
• Check the reception answerphone after opening the reception door to mark the Pharmacy.
• Use the scalpel at the St Amelia's Park gate.
• Visit Number 16 and collect Jess's backdoor key from the upstairs flat.
• Enter Jess's Flat from the back and take the broken stethoscope from the bed.
• Check Jess's kitchen drawer for the lock box key, then consider opening the box at Number 16.
• Use the scalpel to enter the Pharmacy.
• Use poster numbers and the TV signal to solve the Pharmacy locker combination.
• Collect the incorrect prescription from the locker.
• Place stethoscope, prescription, and Zoe's ID card into the first, second, and third scales respectively.

Once the three objects are placed in that order, there is nothing else to adjust or decode. The scales puzzle is complete, and you can continue deeper into Silent Hill Townfall's next major sequence.