In Silent Hill 4's Hospital World, players must locate two 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.
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 seconds of time — the animation to open, peek inside, close, and move to the next one adds up. 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 front 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."