The Bloody Note is found in the Otherworld version of Alchemilla Hospital in Silent Hill: Origins. Travis Grady finds it in Room 204, alongside a locked medical box. The note acts as a clue to solving a puzzle, allowing Travis to obtain 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")"