Chainsaw- Finish the game on Easy Action level or higher. Stuck in logs near the beginning of the game.
Hyper Spray- Finish game twice, with one game either on Normal or Hard Action. Found in the RV on Saul St.
Ritual Items- Finish the game once, regardless of difficulty.
White Chrism- Room 105 kitchen, Blue Creek Apts.
Book of Lost Memories- Texxon Gas Station, newspaper rack.
Obsidian Goblet- Silent Hill Historical Society, broken display case.
Book of Crimson Ceremony- Reading Room, Dark Lake View Hotel.
Dog Key- Finish the game with the Rebirth Ending. In the Dog house next to Jack's Inn.