The Ladder Hook is a weapon found in Silent Hill: Downpour. It is first found upon Murphy Pendleton's first foray into Silent Hill and is used to pull down a ladder, allowing him to gain access to a second story building he wouldn't be able to reach otherwise; it is later used multiple times for the same purpose, therefore making it so the object is usually found within proximity of ladders.
The Ladder Hook can also be used rather successfully in combat. It has long range and deals decent damage, allowing the player to keep his or her distance from a monster while dealing exceptional melee damage. Like all weapons in the game however, the Ladder Hook breaks after some use. Being wooden, it has less durability than other weapons, but it still lasts quite a long time.
It is also important for Murphy to try to reserve these objects for pulling down ladders. Although all the breakable weapons regenerate over time, the wait can be very tedious to the player when he or she discovers a ladder that is desired to be pulled down and a Ladder Hook is nowhere in sight. This is especially the case in St. Maria's Monastery, where it is imperative to have a Ladder Hook in order to proceed to an upper level of the building.
It is one of the five weapons the player is required to use along with the Plank, Knife, Fire Axe, and Great Hammer.