Dr. Fitch's Office is a location in Silent Hill: Homecoming. In addition to his offices, Dr. Martin Fitch also runs his clinic out of the same building.

Alex Shepherd enters the building in pursuit of Dr. Fitch, but the interior is completely deserted. This changes, however, when Nurses suddenly appear before the doctor's office door, as it is a place of significant importance.


Fitch Clinic

A nurse in the reception area

Located off of Main St. in Shepherd's Glen, the first room one encountered is a reception room. Leading off the reception room is a hallway containing four doors, of which two accessible while the others are jammed and blocked.

Scarlet's Room

Scarlet's "bedroom".

One of the two is an exam room which has been converted into a makeshift girl's bedroom containing Scarlet's Doll, among others. The other door, which only opens after exiting the small bedroom, is Fitch's office, which contains medical instruments, memos and personal belongings pertaining to the doctor.

When Scarlet's Doll is obtained, a shift to the Otherworld occurs, transforming Fitch's building into the area known as the Hell Descent.

Hell Descent


A dead end of the Hell Descent.

Main article: Hell Descent

The Hell Descent is the Otherworld manifestation of Dr. Fitch's fractured mental state. The environment contains the metal, smoke, fire, and fans that are ubiquitous to the other Otherworld locations of Silent Hill: Homecoming, as well as hospital references that are representative of Dr. Fitch's personal hell. At the end of Hell's Descent, Alex encounters Dr. Fitch and the manifestation of his daughter Scarlet.

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Main Characters
Alex Shepherd - Joshua Shepherd - Elle Holloway - James Wheeler - Margaret Holloway - Curtis Ackers
Other Characters
Adam Shepherd - Carol Doyle - Lillian Shepherd - Nora Holloway - Sam Bartlett - Joey Bartlett - Martin Fitch - Scarlet Fitch - Travis Grady - Order Soldier - Nash - Robbie the Rabbit
Bartlett Family - Fitch Family - Holloway Family - Shepherd Family
Amnion - Asphyxia - Bogeyman - Feral - Lurker - Needler - Nurse - Scarlet - Schism - Sepulcher - Siam - Smog - Swarm
12 Gauge Shotgun - BlueSteel Shotgun - Chrome Hammer Pistol - Ceremonial Dagger - Circular Saw - Combat Knife - Crowbar - Fire Axe - Laser Pistol - M14 Assault Rifle - Mk 23 Handgun - Police Marksman Rifle - Pulaski Axe - Steel Pipe
Alchemilla Hospital - Central Silent Hill - Church of the Holy Way - Dargento Cemetery - Dr. Fitch's Office - Grand Hotel - Hell Descent - Koontz Limited - Lair - Overlook Penitentiary - Rose Heights Cemetery - Salvage Yard - Sewers of Shepherd's Glen - Shepherd House - Shepherd's Glen - Shepherd's Glen Town Hall - Shepherd's Glen Police Station - Silent Hill Docks - Toluca Lake - Toluca Lake Offices - Toluca Lake Water and Power - Toluca River - Dog House
Bogeyman Knife - Flashlight - Fog World - Map - Monster - Otherworld - Real World - Siren - The Order - Walkie Talkie - Manifestation - UFO Ending - Great Knife - Welcome Sign - Sexuality - Halo of the Sun
Keys - Puzzles - Soundtrack - Secrets and Unlockables - Items - Memos
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