Henry finds a memo shortly after reentering the world where Eric Walsh fondly reminisces of certain aspects of his past life: birthdays, volleyball, pool games, and cats. Henry must find these four specific objects related to these reminiscences (cake candles, a billiard ball, a stuffed cat, and a volleyball), which lay scattered throughout the world, and place them appropriately throughout.
The candles go on Walsh's uneaten birthday cake, and the billiard ball goes on the pool table where Walsh used to bartend. The stuffed cat goes inside a cage in Steve Garland's pet shop. Lastly, the volleyball goes in a basket in Albert's Sporting Goods.
After correctly placing all four objects, a distant ticking will be heard. The sound comes from within a room that has literally been turned upside-down; it holds the exit door to the world. The puzzle unlocks the door and starts the clock affixed to it.
- There are warped rooms similar to the upside-down clock room in Silent Hill: Shattered Memories and Silent Hill: Downpour.