In Silent Hill 4's Hospital World, players must locate two critical items hidden behind randomized doors: the Hospital Key and Eileen's Room. The second-floor corridor stretches out with 11 doors on each side — 22 total — and the game randomly assigns which two doors contain your objectives each playthrough.
For speedrunners, this section is notorious. There's no way to predict which doors hold the key items. You enter the corridor, pick a direction, and start checking doors one by one. Each wrong door costs precious seconds — the animation to open, peek inside, close, and move to the next one adds up fast. In a bad run, you might check 15+ doors before finding both items. In a lucky run, they're right next to each other at the end of the hall.
"Hospital RNG can make or break a speedrun. Bad luck means checking door after door while your time bleeds away. Good luck means walking straight to both items."
For over 20 years, the speedrunning community accepted this as an unavoidable roll of the dice — a section where skill couldn't help you, only luck. Until now.