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Password for heart in hospital
At the begin of the game in the hospital, there is a box with a heart inside. You need a password to open it. The clue is 'Remember, the three beauties who cause it to pump so are the key, 'age before beauty''. The code is '23, 31, 19' (via the order you will find them in).
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Moon Gauntlets
Successfully complete the game to unlock the Moon Gauntlets.
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Unlockables
Successfully complete the indicated task to unlock the corresponding bonus:
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Infinite Rifle
Unlock the UFO ending to get the Infinite Rifle.
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Endings
Successfully complete the indicated task to unlock the corresponding ending:
| Bad | Kill 200 enemies during your second playthrough. |
| Good | Successfully complete the game. |
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| UFO | Use Room 502 Key at the motel room. |
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Alter Night Vision Goggles
Unlock the Night Vision Goggles, and have them equipped. In the Exam Room of Alchemilla Hospital is an X-ray screen with 'Sarah 19' written on it. Examine the X-Ray while wearing the Night Vision Goggles. You will see an image of the Goggles on the screen. The image changes location, and seemingly its shape, if you alter your position in front of the X-ray before examining it.
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Bonus options
Successfully complete the game to unlock the following options:
| Noise Filter (sharpens the graphics) | |
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| Extra Blood (creatures more bloodied when attacked) | |
| Bloody Footprints (always leave bloody footprints) | |
| Walk/Run (toggles running or when Square is held) | |
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| Torch Projection (project image of smiley face, soccer ball, jack-o-lantern, or the mark of Samuel from flashlight) | |
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