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The "Little Mermaid" Music Box is a puzzle item found inside a garden fountain outside the Lakeview Hotel in Silent Hill 2. The music box is one of three needed to solve the Music Box Puzzle in the main lobby on the first floor of the hotel.
- The box has an icon of the Little Mermaid on top, which is a reference to the fairy tale by the Danish poet and author Hans Christian Andersen.
- The location of the music box, found on a fountain near the lake, is likely symbolic.