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The Hospital Lobby Key is found in the director's room on the first floor of the Otherworld Brookhaven Hospital in Silent Hill 2. After escaping from Pyramid Head in the corridors underneath the hospital, James Sunderland is brought up by an elevator to the first floor. Before exiting the hospital, the lobby doors must be unlocked using the key, which can be found on a desk inside of the director's room. Also on the desk is a memo which points out the location of a key needed to unlock the entrance of the Silent Hill Historical Society.