Updated September 28, 2026
If you're trying to unlock Save It For The Patients in Silent Hill: Townfall, the hardest part isn't understanding the trophy description. It's knowing which medical items actually count as healing.
Zoe's chapters put Gauze, First Aid Kits, Alcohol, prescription medications, infusion equipment, and other medical supplies in front of you. However, these items do not all work the same way.
The key distinction is simple: you can pick up and carry healing supplies, and you can complete the required medical procedures. What you must avoid is using healing consumables to restore Zoe's health.
If you're playing on PC, you can also check our Silent Hill: Townfall Best PC Settings: FPS, Shader Stutter Fix Guide for performance and shader-stutter fixes.
Quick Answer
To get Save It For The Patients:
- Complete Rounds and The Patient without using healing items.
- Picking up healing supplies is safe.
- Carrying healing supplies is safe.
- Do not use Gauze, Sterilized Gauze, or First Aid Kits to restore Zoe's health.
- Dextracyclate, Hydroxalene, and Tensobromide are patient-treatment medications, not Zoe healing items.
- The infusion pumps and Medical Intubation Kit are required story equipment and are not Zoe healing items.
In other words, don't confuse treating the patient with healing Zoe.
What Does Save It For The Patients Require?
Save It For The Patients requires you to complete the missions Rounds and The Patient without using healing items.
Those are Zoe's two playable sections covered by the trophy.
The important part is the word use.
You will encounter medical supplies during these chapters, and some are perfectly safe to collect. The trophy concern is using a healing consumable to restore Zoe's own health.
The rule to remember
✅ Pick up healing supplies
✅ Carry healing supplies
✅ Complete medical procedures
✅ Use the required patient-treatment equipment
❌ Use Gauze to restore Zoe's health
❌ Use Sterilized Gauze to restore Zoe's health
❌ Use a First Aid Kit to restore Zoe's health
So if you see a medical item during The Patient, don't automatically assume that interacting with it will ruin the trophy.
Which Healing Items Are Safe?
The easiest way to avoid mistakes is to separate healing consumables from medical story items.
Healing consumables
Gauze — Do not use
Gauze is a genuine healing consumable available to Zoe. You can pick it up, but using it to restore health will break the no-healing requirement.
Sterilized Gauze — Do not use
Sterilized Gauze is the stronger healing item created by combining Gauze with Alcohol. Treat it as a prohibited healing consumable during the trophy run.
First Aid Kit — Do not use
First Aid Kits restore Zoe's health, so using one also breaks the requirement.
Medical and story items
Alcohol — Safe to collect
Alcohol is a crafting ingredient rather than Zoe's direct healing item. Simply picking it up or carrying it does not constitute healing Zoe.
Dextracyclate — Safe
Dextracyclate is one of the medications required for the patient's infusion treatment.
Hydroxalene — Safe
Hydroxalene is another medication used in the required patient-treatment sequence.
Tensobromide — Safe
Tensobromide is the third medication required for the infusion procedure.
Medical Intubation Kit — Safe
The Medical Intubation Kit is a story key item used to treat the patient. It is not a healing consumable for Zoe.
Infusion Pumps — Safe
The infusion pumps are part of the required surgery sequence. Using them to treat the patient is not the same as using a healing item on Zoe.
Why the Surgery Medications Are Safe
This is where the trophy can become confusing.
During The Patient, Zoe has to deal with several medical procedures. You'll examine the patient, check medical readings, collect medications, configure infusion pumps, retrieve an intubation kit, and continue the emergency treatment.
That can make it seem like every medical interaction might count as healing.
It doesn't.
The surgery mechanics are about treating the patient, while the prohibited healing items restore Zoe's own health.
The three infusion medications
The required medications are:
- Dextracyclate
- Hydroxalene
- Tensobromide
You need to use these as part of the infusion procedure to progress through the chapter.
They aren't substitutes for Zoe's healing consumables.
Infusion pump solution
The patient's body weight is 88 kg, placing the patient in the 81–90 kg range on the dosage table.
The required rates are:
| Medication | Correct Rate |
|---|---|
| Hydroxalene | 7 |
| Tensobromide | 8 |
| Dextracyclate | 15 |
Set the three pumps to their respective values, ready the pumps, and continue the treatment sequence.
Completing this procedure is required progression. You don't need to skip the surgery puzzle to protect the trophy.
If you're looking for help with another difficult puzzle later in the game, see our Silent Hill: Townfall AUX Puzzle Explained: How to Read the Pipe Symbols.
Every Medical Item Explained
Gauze
Gauze is a healing item.
You can collect it without automatically ruining your trophy attempt, but don't consume it to restore Zoe's health.
If you're carrying Gauze in your inventory, that alone isn't the problem.
Sterilized Gauze
Sterilized Gauze is made by combining Gauze and Alcohol.
Unlike Alcohol by itself, Sterilized Gauze functions as a healing consumable.
For a no-healing run, simply leave it unused.
First Aid Kit
First Aid Kits are also healing items.
The distinction is the same:
Picking one up is okay. Using it to restore Zoe's health is not.
If you want to keep your trophy attempt safe, don't activate a First Aid Kit during either of the relevant Zoe chapters.
Alcohol
Alcohol is different from the healing items above.
It is used as a crafting component with Gauze to create Sterilized Gauze. It is not itself a direct Zoe healing action.
So don't treat picking up Alcohol as equivalent to healing.
Dextracyclate
Dextracyclate is one of the three medications used during the patient's infusion treatment.
It is a patient-treatment item, not a Zoe healing consumable.
Hydroxalene
Hydroxalene is another required medication for the infusion sequence.
You need to use it as part of the surgery puzzle to progress.
This does not mean you are healing Zoe.
Tensobromide
Tensobromide is the third medication required for the patient's treatment.
Like Dextracyclate and Hydroxalene, it belongs to the patient-treatment sequence rather than Zoe's personal healing system.
Medical Intubation Kit
The Medical Intubation Kit is required for the patient's airway procedure.
You'll use it as part of the story sequence after stabilizing the patient's condition.
It isn't a healing consumable, so completing this procedure does not conflict with the trophy's no-healing requirement.
Medical Bag
A medical bag also appears during Zoe's story, but it should not be treated as automatically being a healing item.
The important distinction is between the story/inventory interaction and actual healing consumables such as Gauze and First Aid Kits.
Tips for Completing Zoe's Chapters Without Healing
Avoid unnecessary damage
The easiest way to protect a no-healing run is to avoid situations where you'll be tempted to use a healing item.
Stay out of enemy sight whenever possible and use the environment to create opportunities to move past threats.
Don't panic after taking damage
If Zoe gets hurt, don't immediately reach for a healing item.
The trophy requirement is about using healing items, so taking damage by itself isn't the action you need to avoid.
Learn the difference between pickup and use
Seeing a Gauze or First Aid Kit doesn't mean your trophy attempt is already ruined.
You can collect supplies without using them.
The important decision comes when the game gives you the option to consume the item for health.
Complete the medical procedures normally
Don't avoid the medications or equipment in The Patient because they look like healing supplies.
The infusion medications, pumps, X-ray procedures, and Medical Intubation Kit are part of the required patient-treatment sequence.
You need to complete those objectives to progress.
Keep the rule simple
When you're unsure about an item, ask one question:
"Am I using this to restore Zoe's health?"
If the answer is yes, don't use it during the trophy attempt.
FAQ
Does picking up Gauze void Save It For The Patients?
No. Picking up Gauze is safe. The important restriction is using the healing item to restore Zoe's health.
Can I carry healing items during the trophy run?
Yes. Carrying healing supplies does not itself constitute using them for healing.
Can I use a First Aid Kit?
Not if you're attempting Save It For The Patients. First Aid Kits restore Zoe's health, so using one breaks the no-healing requirement.
Is Sterilized Gauze a healing item?
Yes. Sterilized Gauze is a healing consumable, so don't use it during Rounds or The Patient.
Is Alcohol a healing item?
No. Alcohol is a crafting ingredient used with Gauze to make Sterilized Gauze. Picking up or carrying Alcohol is not the same as healing Zoe.
Do Dextracyclate, Hydroxalene, and Tensobromide count as healing items?
No. These medications are used to treat the patient during the infusion sequence. They are separate from Zoe's personal healing consumables.
Can I use the infusion pumps during The Patient?
Yes. The infusion pumps are required for the patient-treatment sequence. Using them is part of normal story progression and is not the same as healing Zoe.
Does the Medical Intubation Kit affect the trophy?
No. The Medical Intubation Kit is a required story item used during the patient's treatment.
Which chapters count for Save It For The Patients?
The trophy covers Rounds and The Patient, the two Zoe sections specified by the requirement.
When does Save It For The Patients unlock?
The trophy unlocks after successfully completing the required Zoe sections without using healing items.
Final Thoughts
Save It For The Patients is easier to manage once you separate Zoe's healing system from the medical procedures in The Patient.
You don't need to avoid every medical object you see.
You can pick up and carry supplies, use the required medications, operate the infusion pumps, and complete the patient's treatment normally.
The important rule is simply:
Don't use healing consumables to restore Zoe's health during Rounds or The Patient.
If you're continuing through the game's tougher puzzles, keep our Silent Hill: Townfall AUX Puzzle Explained: How to Read the Pipe Symbols handy for the later pipe-symbol sequence.
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