Alchemilla Hospital (also known as Alchemilla General Hospital) is one of two medical centers in Silent Hill. First introduced in 1999's Silent Hill, Alchemilla has since figured into Silent Hill: Origins, Silent Hill: Homecoming and Silent Hill: Shattered Memories, as well as appearing in Silent Hill: Play Novel, although the designs of the hospital remained fairly similar, there have been some noticeable inclusions and exclusions in the layout of the building.
Alchemilla Hospital is presented as an emergency department in Silent Hill, Silent Hill: Origins, Silent Hill: Homecoming and Silent Hill: Shattered Memories. The floor design remains relatively consistent throughout the series canon with variations occurring within Origins and Homecoming, including the introduction of an Operating Theater, presumably for instructional purposes, as well as relocating the store rooms that have been located near the restrooms across all three titles it appears in. However, it is possible that the real world Alchemilla Hospital has not changed since Silent Hill as Alex only dreamt of visiting it in Homecoming.
Common to all games are multiple operating rooms, nurse stations, intensive care units, and public restrooms. Also plentiful are patient rooms, though what these rooms contain changes to fit each game.
Unique to Silent Hill is access to all three floors of the hospital, a fourth floor in the Otherworld and the basement. Within Silent Hill: Origins, access to the third floor and basement has been restricted due to maintenance and construction, while in Homecoming only the second and third floors are accessible.
First introduced in Silent Hill, it was here that Alessa Gillespie was taken some time after her mother, Dahlia Gillespie, attempted to use her in a ritual by setting fire to their home, with Alessa still inside. Alessa was kept in a room deep inside of the hospital's basement; all of the other nurses, excluding Lisa Garland, were told to never enter the basement.
During his journey through the disturbing burg, Harry Mason, the protagonist of the game, makes his way here on the advice of Dahlia. Within, he meets Michael Kaufmann and Lisa, two souls also trapped in the hell that has become Silent Hill.
Silent Hill 3
In Silent Hill 3, Heather Mason does not physically visit Alchemilla Hospital; however, inside the Order's church, she discovers a hidden room that resembles Alessa's sickroom. In it, she finds one of the Tarot cards necessary for the game's final puzzle. This apparition is more of a symbolic reference to Heather's awaking memories, rather than an actual passage to Alessa's sickroom in the hospital.
Silent Hill: Origins
A prequel to Silent Hill, Silent Hill: Origins introduces truck driver Travis Grady. While cutting through Silent Hill to make up for lost time on a delivery, the young man has an encounter with the spectral figure of Alessa Gillespie. Following the figure, he is led to a burning house, and hears a scream. Rushing in, Travis pulls out a badly-burned Alessa, before collapsing to the ground. Waking in Silent Hill, Travis makes his way to Alchemilla Hospital, where he inquires to Dr. Michael Kaufmann about the girl. Kaufmann denies any such patient is in his care. However, coming upon a rather large mirror after dealing with the doctor, Travis is drawn into an Otherworld version of the hospital by Alessa's spectral figure. Fighting his way through demonic nurses, he comes to in the "real" hospital, where he is told by trainee nurse Lisa Garland that Alessa passed away.
Travis briefly revisits Alchemilla near the end of the game after piecing the Flauros together.
Silent Hill: Homecoming
Alex Shepherd, the protagonist of the sixth installment of the series, is a soldier on his way home. Having seemingly been wounded in action, Alex spent some time in a hospital for treatment.
The game opens with a nightmare sequence, involving Alex searching for his brother, Joshua Shepherd, who runs around the corridors of Alchemilla Hospital. He finds a combat knife and encounters the first monster of the game, a Nurse, which provides the player with an opportunity to practice melee combat. Also obtained for the first time are the health drink and first aid kit. While there is no boss battle in this level, the Bogeyman makes his lingering presence known to Alex.
At the beginning of the level, doctors are seen committing vile acts on the patients, with each patient representing one of the sacrificed children (Scarlet Fitch, who is being dismembered, then Nora Holloway who is being strangled, then Joey Bartlett who is buried alive). Josh being there represents the fact that Alex escaped death at the cost of Josh's life.
During the course of play, it is made known to the player that Alex was not a wounded soldier, but rather, a mental patient. Although Alchemilla was featured in Alex's dream and presented as a military hospital/lunatic asylum, it is not known if it is where he was institutionalized after the death of his brother. Adam Shepherd would have been against sending Alex to Silent Hill, a town for which he shows disgust. The reason Alex specifically dreams of Alchemilla Hospital is alluded to in a newspaper article in the Shepherd's Glen Town Hall. When he was eight years old, Alex was involved in an accident that left him trapped in a school bus on the Toluca River during a freak thunderstorm. Alex nearly died of hypothermia but was saved by Dr. Fitch, who came to his aid and kept him warm while fire crews took four hours to free them. It is noted in the article that during the evacuation, children were evacuated to Alchemilla Hospital in Silent Hill to recuperate and it is presumed that Alex joined them after his rescue.
Silent Hill: Shattered Memories
The entirety of gameplay in Alchemilla Hospital takes place in the Ice World. After blacking out, Harry is initially brought to the hospital by Cybil Bennett, who changes his soaked clothes and now wheels him in a wheelchair. The world quickly transitions before she can finish speaking to Harry and becomes horrifically combined with a nearby railway system. Train cars criss-cross through open patches, with some crashed through the walls or even suspended in the air. After escaping from the Raw Shocks and returning to the real world, he meets Lisa, who has crashed either her own car or an ambulance (player actions dependent) and has suffered a head wound. Alchemilla also has their own radio station on which the player can request a song by calling 555-881_, with the last digit being the song number they want (0-9).
- Alchemilla Hospital most likely takes its name from the real life genus of perennial plants, Alchemilla, also known as "Lady's Mantle". An Alchemilla is a plant in the Rosaceae family and is related to the word "alchemy". The literal meaning of the word is "little magical one", and is feminine. In herbalism, it can be used to ease heavy menstruation and menopause.
- The idea of Alchemilla Hospital came from the movie Jacob's Ladder, specifically the sick house scene.
- In Silent Hill, there is a "Konami Burger" restaurant just west of the hospital.
- In Silent Hill, there is a save point located in the Otherworld version of Room 302, the same number later used for Henry Townshend's apartment.
- There is initially no fourth floor in the hospital. This is a reference to the stigma associated with the number four in East Asian culture.
- Right before the player obtains the Combat Knife in Silent Hill: Homecoming, there is bloodstain on the mirror that reads "Where Are You". Also, Robbie the Rabbit is drawn on the mirror with blood.
- When rotated 90 degrees clockwise, the map of Alchemilla Hospital in Silent Hill: Homecoming is more identifiable with previous maps of the hospital.
|Harry Mason - Cheryl Mason - Dahlia Mason - Dr. Kaufmann - Cybil Bennett - Michelle Valdez|
|Bar Maid - The Stewarts - Mr. Gordon - Lisa Garland - John - James Sunderland - Mira - Greys|
|Raw Shock - Larval Stalker|
|Alchemilla Hospital - Annie's Bar - Diner 52 - Good Ol' Days - Green Lion Pawn Shop - Lakeside Amusement Park - Levin Street - Lighthouse Clinic - Midwich High School - The Balkan - Toluca Mall - Nightingale Apartments|
|Echo Photos - Flare - Flashlight - Harry's Phone - Real World - Ice World - Memento - Phone Numbers - Psych Profile - Tookie the Toucan - Manifestation - UFO Ending - Sexuality|
|Keys - Puzzles - Secrets and Unlockables - Soundtrack|