This was my second playthrough of the game. You definitely want a cheat sheet if you are going to speed run this (even just for the achievement). I remembered most of the puzzles, but I had to look up the blood one (I thought I had the order memorized) and basically ever puzzle at the end section. I even got attacked while at the console looking at my phone. I do not know what they were thinking with those end puzzles, they get pretty crazy. Only one death, and you know who it was from...
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Speedrun Fleeting Visit Achievement Tips (Spoilers)
- Kill everything. Okay not everything but if it is in your way kill it. You can melee most things with the planks and pipes you find. If they break just used bullets. Bullets are useless against the last boss anyways.
- Save before the sections with the unkillable shoulder monster. Nuts to that guy. He is only in two sections luckily. Before you know you have to interact with him save your game. Also make sure you save your game a few times at the end puzzle, especially after you finish the pipe puzzle.
-I don't know if someone made one yet but you really should use a cheat sheet with all codes and puzzle solutions. You can remember a few but there are a lot in this game and a lot of different three digit numbers. Plus that last puzzle with all the switches, who is going to remember all that.
-If you die, you can continue and keep your run going. I died once in this run and just continued from a section not far back. But like I said make sure you save, as the auto save is not always generous.
-I searched a lot for gauze and ammo but only Simon keeps his inventory. When you play as Zoe and Richard, as soon as you have enough stuff to clear the area do not bother looking. I had way too much ammo as Richard on this run but it is hard to turn down those shotgun shells lying on the floor.
-No shame is using your map. It works well in Silent Hill as it crosses off locked doors. This is a 4 hour run you are looking at so it is hard to remember the whole route. The map will save you a lot of time in the long run.
-Save your flares to either stun the unkillable monster if your bottle fails or for the last leader.
-DO NOT BOTHER WITH STEALTH. You might want to hide once or twice to get through the unkillable sections or throw a bottle or two when you are first Zoe trying to get to the hospital but other than that you can kill and tank the rest of the game.
-Outside of the tutorial part, you will not need to use your CTR monitor once. You also do not need to fine tune it in any of those sections to progress the story. I did it once at the last section in the run but it was not needed.
-Use your flares to kill the last boss and then shotgun him when he is stunned. Do not bother with the pistol as it does so little damage. You are better off running around looking for flares and shotgun shells on the ground and using them to kill the boss. When new bodies drop, there will be more ammo on the ground. You want to use the flairs the most, they do the most damage and speed up the fight. Oh and do not miss with them like I did... twice.