- This article is about an item in Homecoming. For the knife belonging to Angela Orosco, see Angela's Knife.
The Butcher's Knife is an item obtained in Silent Hill: Homecoming. It is one of three items used to solve the Knife Puzzle in the Otherworld Shepherd House. It is located on the second floor in Alex Shepherd and Joshua Shepherd's former room.
- The butcher's knife resembles the knife Angela held in Silent Hill 2, while she was contemplating suicide. It may also reference the Great Cleaver in Silent Hill: Origins, and the Great Knife in Silent Hill 2. The similarities may be symbolic of the many parallels between Alex's journey and James Sunderland's.