In this second segment, we guide you through completing the Silent Hill 2 Blue Creek Apartments, part of the PS5 version of the game, including all collectible items. You arrive here after crossing a gap between two doors from the Wood Side Apartments. This walkthrough covers the entire sequence, from your entry into the Blue Creek Apartments to the conclusion of the Pyramid Head boss battle, while also detailing how to solve the Clock Puzzle in Room 212, the Seesaw Puzzle in Room 210, and the Moth Lock combination.

Silent Hill 2 Blue Creek Apartments: Glimpses of the Past, Strange Photos
After crossing from the Wood Side Apartments into Blue Creek Apartments, you enter the Otherworld, a darker, more decayed version of Silent Hill 2. Once you regain control of James, move through the hallway and collect the Handgun Ammo on a nearby chair. Continue down the corridor and find maps for the 1F, 2F, and 3F floors of the Blue Creek Apartments. Every door along the corridor is locked, but you’ll notice a cracked wall at the end leaking black liquid. Smash through this wall using your Wooden Plank to access Room 206.
Inside, you’ll find two boxes of Handgun Ammo, a Health Drink, and two enemies. After dealing with the threats, exit through the blue door and approach the locked entrance of Room 202, where you’ll get a clue about "M" on Door. Proceed into Room 212, where you'll find a Health Drink, a save point, and a note. Next to the save point, you’ll notice a cover over the Clock. This clock holds the key puzzle for the Blue Creek Apartments.
You can find the information needed to solve this puzzle in the Silent Hill 2 Moth Puzzle guide.
With your new objective in mind, head onto the metal balcony, and go right. You’ll hear a noise from a door that James marks as "H" on his map. Take some more Handgun Ammo from the nearby boxes before doubling back and entering Room 203. In this room, after an enemy ambush triggered by a flickering TV, grab the Syringe from the kitchen and smash the wall next to it to access Room 205.
In Room 205, there’s more Handgun Ammo, and another enemy to defeat. Continue your ascent by climbing the stairs up to floor 3F, using nearby boxes to enter Room 303. Inside, you’ll find more Handgun Ammo and a Health Drink scattered between two kitchens, which are now combined into a larger room. Step out into the hallway and head left to Room 303 again for more Handgun Ammo in an area previously inaccessible.

Follow the 3F corridor north into Room 307. Here, you’ll encounter a Radio suspended from the ceiling by chains. After collecting more Handgun Ammo and a Health Drink from the kitchen, investigate the pipe missing a handle. Step outside through a propped door and re-enter Room 305 through a window. Inside, you’ll find the Apartment 306 Key but will be ambushed by two enemies. Dispatch them and use the key to unlock Apartment 306 in the northwest corner of 3F.
After dealing with the two enemies in Apartment 306, collect Handgun Ammo and a Health Drink. A crawlspace near the couch leads to the kitchen, where a hole in the wall lets you access Room 304. In Room 304, collect more Handgun Ammo and defeat two more enemies before dealing with the pipe handle in the living room. The pipe will explode, and you’ll receive the Valve.

Exiting into the hallway triggers another attack from multiple enemies, so proceed carefully. Once the coast is clear, return to Room 307 to use the Valve on the pipe, lowering the Radio and allowing you to claim The Hour Hand.
This action also unlocks a previously bolted door. Head outside to the balcony and use the lever to lower a staircase leading to floor 2F. Downstairs, in Room 212, insert The Hour Hand into the Clock to solve the puzzle and unlock the door previously marked as "H" on James' map.

Inside, you'll discover a Seesaw and find the Handgun Ammo in the kitchen. In the bathroom, smash the glass to retrieve The Minute Hand. Solve the Seesaw puzzle by collecting the Pigeon Figurine, then proceed through the blue front door to access a new section of the Blue Creek Apartments.
Head north in the hallway to Room 209 to access more collectibles. Break through the wall to find The Malformed Figurine Part. Continue to Room 211 to acquire The Wooden Swan Head. Combine it with The Malformed Figurine Part to obtain The Swan Figurine, which grants you the Winged Key. This key unlocks the door next to the Seesaw, leading to a large hole inviting you to jump down.
The fall will bring you to Room 110 on floor 1F, where you’ll witness one of the Glimpses of the Past as you interact with the furniture in the room.
Glimpses of the Past #1
After descending into Room 110 using the Winged Key, you'll come across a piece of furniture with a plaque. Interacting with it will trigger the first Glimpse of the Past. Nearby, in the kitchen, you can collect some Handgun Ammo and a Health Drink. Exit into the corridor and head north to Room 109, where you'll find more Handgun Ammo in the kitchen. Here, a cutscene will play featuring Angela, the woman you met at the Graveyard earlier in the game. Following this interaction, you'll receive Angela’s Knife and the Key of Resilience from the table.

You can use the Key of Resilience to unlock the double doors at the southern end of the hallway. When you approach the door opposite to the right, James will mark "S" on his map. Continue by picking up more Handgun Ammo and heading through the next set of doors to enter Room 101. Collect the Syringe and Handgun Ammo, then follow the path to a stairwell leading upstairs. Before climbing the stairs, look to the right to find a Strange Photo.

Strange Photo #1: Forever Together
After the cutscene with Angela and obtaining the Key of Resilience, unlock the doors at the southern end of the corridor on floor 1F. Follow the path through Room 101, and before heading upstairs, go right to face an enemy and find this Strange Photo on the ground.
After collecting the Strange Photo, head upstairs and unlock the doors leading to the main corridor on floor 2F. Once there, return to Room 212 to save your game. Now use The Minute Hand on the Clock, which will unlock the door marked "M" on James’ map. Inside the room, you'll encounter moths and a combination lock blocking the exit.

Once you've cracked the code, the door will open, revealing a bedroom with a small hole in the wall. James will need to reach inside three times to obtain The Second Hand. Return to the Clock in Room 212, and as you go, notice the massive scrape marks on the floor and walls (left by Pyramid Head). Having completed the final Clock puzzle, the double doors marked "S" on the map on floor 1F will now be unlocked. In this area, there's also a smaller room with a Strange Photo to find.
Strange Photo #2: How the Time Flies
After solving the Clock puzzle in Room 212 with The Second Hand, enter the adjacent smaller room and collect this Strange Photo, found on the ground to the right.
As you make your way down to the door on floor 1F, you'll reach the top of the stairwell on floor 2F. Here, you can interact with the enemy corpse for another Glimpse of the Past.

Glimpses of the Past #2
After solving The Second Hand puzzle in the Clock in Room 212, head back to floor 1F. At the top of the stairwell from floor 2F, you'll find an enemy corpse that triggers this second Glimpse of the Past. This Glimpse only becomes available after completing the Clock puzzle; it won’t appear the first time you climb the staircase.

Finally, when you reach the door James has marked "S" on the map, you'll face the boss fight with Pyramid Head. Despite his slow pace, his massive sword has a wide range, so always maintain your distance. Feel free to shoot at him, aiming either for his helmet or exposed flesh. After a while, the ground will rumble, and Pyramid Head will move faster, making him more dangerous. Keep a safe distance and continue attacking him until a siren sounds. This marks the end of the battle as Pyramid Head will walk away, unlocking the large metal doors that allow you to leave Blue Creek Apartments.
