Resident Evil 9 Organ Transport Box Puzzle Guide: How to Upgrade to ID Wristband Level 2

Image credit: Capcom

What to know

  • You must already have the Level 1 ID Wristband and complete the Sun Quartz puzzle first.
  • The Wrench is required to access Cold Storage and retrieve the first organ.
  • The Organ Transport Box puzzle in the garage contains the second transplant organ.
  • Placing both organs triggers a mini-boss encounter that rewards ID Wristband Level 2.

In Resident Evil 9: Requiem, the Care Center escape sequence locks your progress behind a medical-themed objective. To upgrade your clearance, you’ll need to retrieve two artificial organs, solve a mechanical transport box puzzle, and survive a sudden enemy encounter. Here’s how it all fits together.

ID Wristband Level 2 process details in RE9

RequirementLocationPurposeMandatory?
Sun Quartz PuzzleCare Center (earlier section)Unlocks progression pathYes
Level 1 ID WristbandObtained earlier in storyGrants access to restricted areasYes
WrenchSecurity door past kitchenOpens Cold StorageYes
Artificial HeartCold StorageFirst transplant organYes
Organ Transport Box PuzzleGarageUnlocks Artificial LungsYes
Artificial LungsInside transport boxSecond transplant organYes
Examination Room BodyEast WingTriggers boss encounterYes
Defeat ZombieExamination RoomDrops ID Wristband Level 2Yes

Where each key location is inside the Care Center

All required areas are located within the Care Center’s ground floor and east wing. The kitchen security corridor leads to the wrench, while the dining room hallway connects to Cold Storage. The garage sits adjacent to maintenance corridors and houses the Organ Transport Box. Finally, the examination room in the east wing contains the body used for the transplant sequence and the encounter that follows.

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Completing the Sun Quartz requirement

Before beginning this sequence, you must finish the Sun Quartz puzzle elsewhere in the Care Center. This unlocks the progression route tied to the wristband upgrade. Without it, certain doors remain inaccessible.

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How to find the wrench past the kitchen

Head toward the kitchen area and move through the nearby security door corridor. Locate the Wrench in the secured area beyond the kitchen. It is positioned along the path before reaching Cold Storage access.

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Pick it up, as it’s required to manually open a locked Cold Storage door.

How to access Cold Storage and retrieve the artificial heart

From the ground floor, move past the dining room toward Cold Storage. Interact with the locked Cold Storage door and use the Wrench to open it.

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Enter the room and locate the Artificial Heart inside a refrigerated container. Collect the Artificial Heart. This is the first organ needed for the transplant sequence.

Image credit: Capcom / Via: YouTube – GosuNoob

How to solve the Organ Transport Box puzzle in the garage

The Organ Transport Box is located in the garage section of the Care Center. Approach the Organ Transport Box in the garage and interact with it. Switch the control mode to “Hand” mode using the D-pad input.

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Adjust the slider mechanism so that internal components align properly. Move Switch 2 and Switch 5 downward. Leave the other switches unchanged.

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Switch back to “Auto” mode. Confirm the configuration. The box will unlock if the switches are correctly positioned.

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Inside, you’ll find the Artificial Lungs, the second required organ.

Defeating the zombie and claiming the upgrade

Travel to the East Wing Examination Room. Interact with the body on the operating table. Insert the Artificial Heart. Insert the Artificial Lungs.

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The moment both organs are placed, a hostile zombie emerges. Prepare your weapon before placing the second organ to avoid being caught off guard.

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Defeat the zombie that appears immediately after the transplant. Once defeated, the enemy drops the ID Wristband Level 2.

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This upgraded wristband unlocks additional restricted doors in the Care Center and allows you to proceed toward obtaining the final quartz required to escape.

Rewards from completing the organ transplant sequence
RewardDescriptionUnlocks
Artificial HeartTransplant organ from Cold StorageRequired for event trigger
Artificial LungsTransplant organ from puzzle boxRequired for event trigger
ID Wristband Level 2Security clearance upgradeAccess to higher-level doors
Story ProgressionAdvances Care Center escapeFinal quartz objective

Escaping the Care Center with Level 2 clearance

Upgrading to ID Wristband Level 2 in Resident Evil 9: Requiem is less about combat and more about careful exploration and puzzle execution. If you methodically collect the wrench, retrieve both artificial organs, and correctly configure the Organ Transport Box, the encounter that follows becomes the final checkpoint before progressing the story.

With the Level 2 wristband equipped, previously locked security doors now respond to your upgraded access. This allows you to retrieve the final quartz piece and move toward completing the Care Center chapter.

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