The Silent Hill 2 Remake bent needle is part of a puzzle in Brookhaven Hospital that also needs medical tubing to solve. If you find either alone you'll not be able to do anything, but find both and you can reach the Pharmacy drain with needle and tube combined. Depending on how much you explore or deviate that can actually take a while, and there's a lot of other things going which can leave both the needle, tubing and drain feeling like odd loose ends.
Here's what I did with the bent needle in SH2 and how I used it to get the pool key from the drain with the medical tubing.
How to use the Silent Hill 2 Remake bent needle
You'll find the bent needle in Silent Hill 2 in the Brookhaven Hospital women's locker room shown on the map above, where you'll also find the Silent Hill 2 Remake shotgun. However, it doesn't have any obvious purpose initially and you could be exploring for a while before you find what you need to make use of it.
To use the needle you'll need to keep exploring and reach the shower room on Brookhaven Hospital 1f, where you'll find a length of medical pipe here on the map:
However, there is a lot going on between getting the needle and finding the tubing. You'll have to deal with the locked Silent Hill 2 Remake Nurses' Office not long after getting the needle, which is a whole thing in its own right. You'll also discover the hand in the Director's Office in Silent Hill 2 Remake which is the main big puzzle for the Hospital at this point (although you won't be able to solve it for a while). There's also the Silent Hill 2 Remake X-Ray puzzle which ties into the hand as well.
The bent needle will ultimately get you the final part of the hand puzzle once you've seen it through and used it how it's meant to be used. So while it seems unimportant among all the monsters and other things you need to worry about, it is actually key to the whole area.
Once you have the needle and the tubing you can combine the two in your inventory and head to the drain in the pharmacy, here:
With the needle and tubing combined you can now use it to interact with the drain and reach the maintenance pool key trapped at the bottom. With that out you can then get inside the pool, which should be the last location you need to reach to solve that hand puzzle in the Directors office and move on from the hospital.
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