Second New Game + Playthrough / Action: Lost in the Fog / Puzzle: Lost in the Fog
Load a save file that has two endings completed on it. It is a requirement for ending #4 to have at least two completed endings. The UFO ending does not count. It has to be #1 and #2, or #1 and #3. You can see the icons on the bottom right of the save file to show what endings are on each. It is recommended to choose the file where you are upgraded the most.
Set the difficulty to Lost in the Fog for both action and puzzle.
Make sure to collect and sell offerings as well as any healing items you may not need in order to finish fully upgrading Hinako and/or buying the Omamori from the shrines. If you have 1 Upgrade Ema left over, use it to upgrade for a fifth Omamori slot. You’ll get another Upgrade Ema later on in this playthrough.
You will also not need to do the Crimson Water puzzle. It will carry over to this playthrough as completed already.
Do not use or collect any red pills on this playthrough.
Character builds? In a Silent Hill game? Sorta! the following Omamori “builds” can be used to help make things a little easier:
Counters
- Serpent
- Swallow
- Hound
- Swordfish
- Beetle
Healing
- Crow
- Whale
- Sakura
- Mantis
- Boar
Focus Attacks
- Owl
- Willow
- Hawk
- Crab
- Hound
The Suzuran Omamori can be added to these as well. That will make perfect dodges easier to do it.
Shrine Path
Altar Puzzle – Lost in the Fog
Shrine Puzzle
Ebisugaoka (2)
Sacred Sword
If you’ve been following this guide, the Sacred Sword will be available for pick up in this area.
When the main road that runs north splits, go right and this is found in a small open area on the left. It is the same location as a Jizo Statue in our previous playthrough.
Ebisugaoka Middle School
Stairwell Puzzle – Lost in the Fog
The key is found in a flower bed on the opposite side of the stairs that lead into the building in the middle of the outdoor area of the school.
Secret Box Puzzle – Lost in the Fog
Step 1
Step 2
Step 3
Locker Combinations
- Aoi Takeshi – 401
- Tsuchiya Taiko – 377
- Suga Yosie – 505
- Asakura Ayumi
- Lost in the Fog – 399
Worship Hall
Document – Rinko’s Diary
This is found in the western side of the area in the room to the north that has the Rightward-Facing Fox Crest. Pick this up BEFORE switching the lamp as it will disappear when the room is turned red.
Document – Rinko’s Diary #2
This is found on the western side of the area in the southern store. This is where you find the Leftward-facing Fox Crest. You can pick it up after switching the light. It is on top of some boxes near the lamp.
Document – Rinko’s Diary #3
This is found in the classroom on the far west side of the western area. It is on top of a desk in the 2nd row. This is before interacting with the lamp.
Document – Rinko’s Diary #4
This is found in the same classroom as the previous diary, but after you flip the switch on the lamp. It is found in a cubby in the back of the room. It is in a middle cubby underneath a plant in a white pot.
Fires of Jealousy 
/ Document – Rinko’s Diary #5
This is found in the same classroom as the previous diary, but after you flip the switch on the lamp. It is inside of a cubby along the wide wall of the class.
Document – Sakuko’s Diary #7
This is found in the locker room on the eastern side of the area. It is on a bench near the locked door.
Document – Sakuko’s Diary #8
This is found in the right corner next to a door lever in the same room as the second Hokora shrine of the eastern side of the area.
Light Puzzle
- Left Side – facing away from each other
- Right Side – Both facing left
Ebisugaoka (5)
Good Intentions… / Document – Clinical Trial #3
This is found right around the corner from the firs Hokora shrine that you come to. Go down the path from the Hokora and go to the house on the left that is nearby the shrine. This is found on a bench along the house. As long as you have collected all three of the Clinical Trial documents, the Trophy will pop here.
Purify the Sacred Sword – Ending #4 Requirement
Purify the Sacred Sword in the same location as our previous playthrough for ending #2. This is needed for ending #4.
A Gift I Cannot Accept / Jizo Statue – Ending #4 Requirement / Upgrade Ema #22
Continue through the area. Just before the Hokora shrine outside of Shimizu Residence, the path will split. One way will go up toward a house and the other path will head right toward a dead where both of these can be found. Interact with the Jizo statue to offer the Brooch. This is required for ending #4.
Shimizu Residence
Scales Puzzle
Ominous Photo Puzzle
Leave Hinako’s portrait the correct way. Turn all of the other ones upside down.
My Room Puzzle
Treasure Hall
Mural Puzzle
Corridors
Before taking on the final boss fight, make a separate manual save. If you are unable to beat the bosses in under the 10 minute time limit for the Trophy below, you can beat them however long it takes, finish the game and get ending #4. Then, you can reload that separate manual save, die against the boss a few times and then the game will give you the option to bump the difficulty down. With that, you can then try again on a lower difficulty.
God Slayer 
The final boss fight will be against 2 different bosses. During the fight, you’ll alternate between the 2 Hinakos as each of them will be fighting a boss. In order to earn this Trophy, you’re going to have to beat both of the bosses in under 10 minutes.
Each of the bosses will have 3 phases. After doing 1 phase for each of them, you’ll get a checkpoint. Fortunately, dying and continuing from that checkpoint will not add to the timer. So that makes this a very generous 10 minutes.
Ending #4 – Ebisugaoka in Silence
After beating the two bosses, you will reach ending #4. If you were unable to beat the 2 final bosses in under 10 min, reload the manual save and try again on a lower difficulty.