Quick Answer: Set the three Surgery Room infusion pumps to 15, 7, and 8, respectively. Use Dextracyclate 2.5mg at 15, Hydroxalene 3mg at 7, and Tensobromide 11mg at 8. Ready all three pumps, then select Start on the main control panel.
The Surgery Room Pump Puzzle in Silent Hill: Townfall requires three specific medications and the correct infusion rates. Finding the syringes first is essential, as each medication must be paired with the correct pump setting before the treatment can begin.
Surgery Room Pump Puzzle location
The Surgery Room Pump Puzzle is located inside the Surgery Room in the St. Amelia Medical Center of Silent Hill: Townfall. The three required syringes are scattered across nearby treatment and storage areas, so collect Dextracyclate 2.5mg, Hydroxalene 3mg, and Tensobromide 11mg before returning to the Surgery Room to configure the infusion pumps.

Requirements
Before attempting the puzzle, collect Tensobromide 11mg, Dextracyclate 2.5mg, and Hydroxalene 3mg from the surrounding medical rooms. Once all three syringes are in the inventory, return to the Surgery Room and use them at the corresponding infusion pumps.
| Medication | Dose | Location | Pump rate |
|---|---|---|---|
| Dextracyclate | 2.5mg | Recovery room | 15 |
| Hydroxalene | 3mg | Back storage room | 7 |
| Tensobromide | 11mg | Treatment/supply room | 8 |
How to solve the Surgery Room Pump Puzzle in Silent Hill Townfall
Step 1: Get all the required medications
- Enter the Pharmacy/supply room near the entrance and look on the counter for the Tensobromide 11mg syringe. Pick it up and keep it for the Surgery Room puzzle.
- Go to the Bay 6 in front of office and check the stand beside the patient bed. The Dextracyclate 2.5mg syringe is located there.
- Head to the Records room and search the supply cabinet. Collect the Hydroxalene 3mg syringe.

Step 2: Insert the medications with set rate
- Return to the Surgery Room and interact with the pump for Dextracyclate 2.5mg. Insert the syringe, choose Set Rate, and enter 15.
- Move to the pump assigned to Hydroxalene 3mg. Insert the syringe and select Set Rate.
- Use the final pump for Tensobromide 11mg. Insert the syringe, select Set Rate, and enter 8.

Step 3: Start the treatment
With all three pumps correctly configured, approach the main control panel monitor in the Surgery Room. Interact with it and select Start.
The infusion sequence will begin, completing the pump puzzle.
What happens after solving the puzzle?
Once all three pumps are correctly prepared and Start is selected on the main monitor, the surgery treatment sequence begins. The important part is ensuring that the medication, dose, and pump rate are matched correctly before activating the main panel.
FAQs
What is the Dextracyclate pump setting?
Set Dextracyclate 2.5mg to 15.
What is the Hydroxalene pump setting?
Set Hydroxalene 3mg to 7.
What is the Tensobromide pump setting?
Set Tensobromide 11mg to 8.
Where is Tensobromide 11mg?
It is on the counter in the treatment/supply room near the entrance.
Where is Dextracyclate 2.5mg?
The syringe is in the recovery room, on a stand beside the patient bed.
Where is Hydroxalene 3mg?
It is inside a supply cabinet in the back storage room.
Video help:







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