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  1. Games
  2. Survival Horror Games
  3. Silent Hill 2

How to turn on the Hospital Generator in Silent Hill 2 Remake

Guides
By Joel Franey last updated 21 November 2025

The SH2 generator in the hospital basement requires fuel and a can to turn on

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Silent Hill 2 Remake Hospital Generator
(Image credit: Konami)
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You'll need to turn on the Silent Hill 2 Remake hospital generator to get the elevator running , but only once you find fuel and a fuel can. Which means creeping through the dark Brookhaven hospital basement while avoiding enemies to find what you need.

Fortunately the basement isn't big, but the darkness and danger means you'll probably want a little guidance on where to go to find both fuel and the empty fuel can needed to move it. I can show you everything you need to do to turn on the hospital generator in SH2 below, and start the elevator to the second floor running.

How to fuel the hospital generator in Silent Hill 2

Silent Hill 2 Hospital Generator fuel

(Image credit: Konami)
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The Silent Hill 2 hospital generator is found in the basement of Brookhaven Hospital, and is a key puzzle to solve in order to continue. You'll actually reach the basement by completing the Silent Hill 2 Remake hospital padlock code puzzle on 1F and getting the key. But once there you'll need to power up the generator for the hospital elevator to reach the upper floors.

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The generator needs fuel to be turned on which, in turn, requires you to find an empty fuel can to fill up from a fuel tank. Once you've done that you can then head back to the elevator, power it, and ascend to the upper floors. We've marked all their locations on the map below.

Silent Hill 2 Hospital Generator map

(Image credit: Konami)

To power up the generator in SH2 you need to do the following:

  1. Head South from the generator room
  2. Turn East into "0.6 Boiler Room"
  3. Head South into "0.10 Boiler Room"
  4. The Empty Fuel Can will be in the corner for you to retrieve.
  5. Head back out and go across the hall into "0.5 Laundry Storage"
  6. Here you'll find a wheeled laundry basket. Roll it South into "0.8 Laundry Room".
  7. Press it against the South wall so you can climb up and through the gap into "0.9 Storage".
  8. In the Southwest corner of the room is a Fuel Tank you can use to fill up the Empty Fuel Can.
  9. Open the bolted door from the inside and head back up to the Generator.
  10. Use the fuel can with the generator to fill it up, then flick the red switch to turn it on.

You'll now be able to use the elevator to move between the various floors of Brookhaven Hospital. When you reach the second floor take a moment to find and retrieve the Silent Hill 2 Remake shotgun before doing anything else, and then move on to the Silent Hill 2 Remake Director's Office Safe and Stone Hand puzzle nearby, both are individual puzzles that you'll spend a while solving, with the hand being the ultimate end game for this location.

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Joel Franey
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Guides Editor, GamesRadar+

Joel Franey is a writer, journalist, podcaster and Very Tired Man with a BA from Brunel University, a Masters from Sussex University and a decade working in games journalism, often focused on guides coverage but also in reviews, features and news. His love of games is strongest when it comes to groundbreaking narratives like Disco Elysium, UnderTale and Baldur's Gate 3, as well as innovative or refined gameplay experiences like XCOM, Sifu, Arkham Asylum or Slay the Spire. He is a firm believer that the vast majority of games would be improved by adding a grappling hook, and if they already have one, they should probably add another just to be safe. You can find old work of his at Eurogamer, Gfinity, USgamer, SFX Magazine, RPS, Dicebreaker, VG247, and more.

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