The Golden Egg is a key from Silent Hill: Origins that Travis Grady found in the Otherworld iteration of Alchemilla Hospital on the second floor in room 202. It is larger than a hen's and rather oily looking, and is warm to the touch. Strange designs can be seen on the outer shell of the egg. It unlocks a door on the first floor of the Otherworld hospital.
- The door this egg is used on has the following inscribed: "Even in this inferno, from out of the flames, I saw life born anew." This is a direct reference to the legendary firebird known as the Phoenix, which is an immortal bird with the ability to be reborn anew.