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.

Locations:

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.