It Reaches Walkthrough - Complete Chapter Guide
A full chapter-by-chapter walkthrough for It Reaches. Covers the five main chapters with official timestamps from a full-game walkthrough, plus objectives, puzzles, danger areas, collectibles, and tips.
It Reaches Guide Team
Chief Archivist
Quick Answer
It Reaches has five main chapters: The Hospital, The Basement, The Sewer, The Sewer Hideout, and The Organism.
These names and timestamps are based on the chapter markers visible in DanQ8000's full-game walkthrough. This guide provides the chapter order, expected puzzle progression, survival tips, and links to detailed puzzle and achievement guides. Room-by-room steps will be added as we verify more footage.
Before You Start
- Documents and collectible notes in The Sewer and The Sewer Hideout
- Ending-determining choices in The Organism
- Some achievements tied to collectibles and specific deaths
Spoiler Warning
Chapter Overview
| Chapter | Playtime | Puzzle | Boss / Set-Piece | Collectibles | Difficulty |
|---|---|---|---|---|---|
| The Hospital | 10-20 min | Tutorial | None | Documents | Low |
| The Basement | 70-90 min | Environmental | Minions / big hand | Documents, supplies | Medium |
| The Sewer | 60-80 min | Valve / power | Entity chase | Toy Police Car, dog photo | High |
| The Sewer Hideout | 70-90 min | Multi-step | Major set-piece | Toy Carousel, drawing, football | Very High |
| The Organism | 15-25 min | Final puzzle | Final encounter | Ending items / last achievement | High |
Chapter 1: The Hospital
Overview
Objectives
- Enter the hospital building and earn the Trespassing achievement.
- Learn the body camera controls, flashlight, and interaction systems.
- Explore the opening hospital area for documents and supplies.
- Reach the transition point to The Basement.
Key Puzzles
Danger Areas
- Dark corridors without flashlight backup -- conserve battery.
- Areas where the entity makes its first scripted appearances.
Collectibles
- Documents that introduce the hospital's history.
- Supplies and optional notes near the starting equipment.
Tips
- Move slowly and pan the camera often; the body camera hides threats in your blind spots.
- Pick up every document -- they often unlock achievements and puzzle hints.
- Save as soon as the game allows manual saving.
Chapter Summary
Chapter 1: The Hospital -- estimated 10-20 min, difficulty Low.
Focus on Enter the hospital building and earn the Trespassing achievement.. Detailed room-by-room steps are being verified against the full release and will be added as soon as possible.
Chapter 2: The Basement
Overview
Objectives
- Escape the prison area and earn the Escape Artist achievement.
- Retrieve your pistol and earn the Happy Reunion achievement.
- Survive the first minion attacks and learn knife/weapon use.
- Reach the transition point to The Sewer.
Key Puzzles
Danger Areas
- Prison cells and narrow corridors with limited escape routes.
- Areas where minions first appear in numbers.
- Dark sections where the big hand enemy can grab you.
Collectibles
- Documents about the facility's history.
- First weapon upgrades and supplies.
Tips
- Use your knife when a minion grabs you to earn Sharp Senses.
- Conserve ammo early; the pistol is limited until you find more supplies.
- Watch for the big hand enemy that triggers the Touchy Subject death achievement if it kills you.
Chapter Summary
Chapter 2: The Basement -- estimated 70-90 min, difficulty Medium.
Focus on Escape the prison area and earn the Escape Artist achievement.. Detailed room-by-room steps are being verified against the full release and will be added as soon as possible.
Chapter 3: The Sewer
Missable ContentOverview
Objectives
- Navigate the flooded sewer tunnels and reach the next section.
- Solve valve and power-routing puzzles to open gates.
- Find the shotgun and earn the Armed and Ready achievement.
- Collect the first family items tied to achievements.
Key Puzzles
Danger Areas
- Flooded sections that slow movement and limit escape options.
- Open tunnel sections with few hiding spots.
- Puzzle rooms where water levels or enemy patrols create pressure.
Collectibles
- Toy Police Car tied to the "Bring your child to work" - Day achievement.
- Photograph of the family dog tied to the Fetch! achievement.
- Documents about the facility's underground history.
Tips
- Explore side paths before opening major gates; some collectibles are missable.
- The shotgun makes combat easier but ammo remains limited.
- Save before long puzzle sequences or before leaving large areas.
Chapter Summary
Chapter 3: The Sewer -- estimated 60-80 min, difficulty High.
Focus on Navigate the flooded sewer tunnels and reach the next section.. Detailed room-by-room steps are being verified against the full release and will be added as soon as possible.
Chapter 4: The Sewer Hideout
Missable ContentOverview
Objectives
- Reach William Blake's Hideout and earn the Science and History achievement.
- Collect the remaining family collectibles tied to achievements.
- Solve the chapter's hardest environmental puzzles.
- Reach the transition point to The Organism.
Key Puzzles
Danger Areas
- William Blake's Hideout and the surrounding experiment rooms.
- Areas with the Venus Hand Trap and big-hand enemies.
- Timed or multi-step puzzles that leave you exposed.
Collectibles
- Toy Carousel tied to Round and round we go.
- Son's family drawing tied to In good hands.
- Worn Football tied to A great team!
Tips
- Check every side room before entering The Organism; several collectibles are missable.
- Use the shotgun against groups of minions but watch ammo.
- Save before the final transition point.
Chapter Summary
Chapter 4: The Sewer Hideout -- estimated 70-90 min, difficulty Very High.
Focus on Reach William Blake's Hideout and earn the Science and History achievement.. Detailed room-by-room steps are being verified against the full release and will be added as soon as possible.
Chapter 5: The Organism
Missable ContentOverview
Objectives
- Reach the final area of the underground facility.
- Complete the final puzzle or environmental sequence.
- Survive the final encounter and make ending-determining choices.
- Watch the ending and return to the main menu.
Key Puzzles
Danger Areas
- The final encounter area where the entity is most aggressive.
- Any sequence where you must choose between escape and confrontation.
Collectibles
- Ending-specific documents only available in this chapter.
- Final achievement triggers tied to choices.
Tips
- Make a manual save before entering the final sequence.
- Check your document and item inventory before the final choice.
- See the Endings Guide for how to unlock each outcome.
Chapter Summary
Chapter 5: The Organism -- estimated 15-25 min, difficulty High.
Focus on Reach the final area of the underground facility.. Detailed room-by-room steps are being verified against the full release and will be added as soon as possible.
What's Next
Sources & Disclaimer
Sources
- Steam store page for It Reaches (App ID 4119360)
- DanQ8000 full gameplay walkthrough chapter timestamps
- Steam Community global achievement statistics
Last reviewed: 2026-07-31



