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"Small but ordinary key found in the red envelope."
Unlocks the cage behind the St. Jerome's Hospital elevator
Silent Hill 4: The Room
The Small Key is a key obtained in Silent Hill 4: The Room. Henry Townshend finds the key in the red envelope along with the letter. The key unlocks the cage behind the hospital elevator.
- It looks like "Ever Downward" is written on the key's label.
- The image of the key in the letter render differs from the one in the inventory and looks more like murder scene key.
Letter and the key in the red envelope.
The cage behind hospital elevator.