The Bloody Note is found in the Otherworld version of Alchemilla Hospital in Silent Hill: Origins. Travis Grady can locate it in Room 204 and is a clue to obtaining a plastic heart needed to complete the Anatomy Puzzle.
- "This heart of mine troubles me
- with its trembling! To still it I have
- put it on ice and locked it away.
- (Remember, the three beauties who
- cause it to pump so are the key,
- "age before beauty")"