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The Sewer Labyrinth in Silent Hill is a sewer that is difficult to navigate, located underneath a house on Rice Street in the Pleasant River area of Silent Hill: Downpour.

The labyrinth serves as the location for a heart needed for the "Dead Man's Hand" sidequest. The corpse where Murphy Pendleton receives the sidequest is in the same house.

Initially, when traversing the sewer, the player will encounter no enemies. However, once they pick up the heart, the enemies will spawn everywhere and immediately start to surround the player; at this time, the labyrinth, unquestionably, becomes the most dangerous area in the whole game with its heavy darkness, tight corridors, and prevalent monsters (Screamers, Weeping Bats, Prisoner Minions, and a few Dolls). It is vital at this point to escape the labyrinth before being overrun. The heart can then be returned to the corpse in the house to complete the sidequest.

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Characters
Major Characters
Murphy Pendleton - Charlie Pendleton - Carol Pendleton - Anne Marie Cunningham - Howard Blackwood - John P. Sater - Patrick Napier - Frank Coleridge - George Sewell - Bobby Ricks - Nun
Other Characters
Sanchez - Homer - M. Koons - Bryan Handley - Ariadne Johnson - Melissa Matlan - Glen Milton - Ricky - Daniel Stephens - Chloe Zane - Mary Shepherd-Sunderland - James Sunderland - Laura - Heather Mason
Weapons
Baseball Bat - Bogeyman's Hammer - Bottle - Brick - Chair - Colt - Crowbar - Demon Statue - Double Headed Axe - Fire Axe - Fire Extinguisher - Fork - Frying Pan - Golden Gun - Golf Club - Hammer - Handle - Hand-to-Hand - Hatchet - Ladder Hook - Knife - Lamp - Meat Cleaver - Nailgun - Pickaxe - Pitchfork - Plank - Rake - Rifle - Rock - Shotgun - Shovel - Steel Pipe - Vase - Wrench - Tomahawk
Monsters
Bogeyman - Doll (Shadow) - Monocle Man - Nurse - Prisoner Juggernaut - Prisoner Minion - Pyramid Head - Screamer - Tormented Soul - Void - Wall Corpse - Weeping Bat - Wheelman- Bubble Head Nurse
Locations
Aerial Tram Station - Centennial Building - Chastain Heights - Chastain Heights Cinema - Devil's Pit - Devil's Pitstop - Interstate Gas Station - Hardware Store - Hillside - Logan's Park - Monroe Cemetery - Overlook Penitentiary - Pearl Creek - Pearl Creek Bank - Pleasant River - Port District - Ryall State Prison - St. Maria's Monastery - Underground Subway - Toluca Lake
Terms
Trinkets - Flashlight - Fog World - Map - Monster - Otherworld - Real World - Sidequest - Siren - Walkie-talkie - Manifestation - Seal of Metatron - Welcome Sign - Halo of the Sun
Archives
Items - Keys - Puzzles - Soundtrack - Secrets and Unlockables - Memos - Pachislot
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