It Reaches The Hospital Walkthrough - Chapter 1 Guide
The Hospital chapter walkthrough for It Reaches: objectives, key encounters, first puzzles, collectible locations, and DanQ8000 chapter timestamps.
It Reaches Guide Team
Chief Archivist
2026-07-30 (updated 2026-07-31)
5 min read
Difficulty: Low
Verified GuideLast reviewed: 2026-07-31
Verified GuideLast reviewed: 2026-07-31Based on the current Steam version of It Reaches.
Quick Answer
The Hospital is the opening chapter of It Reaches. It introduces officer Jason Thompson, the body camera perspective, and the abandoned hospital setting. You will earn the Trespassing achievement by entering the hospital building and encounter the first environmental puzzles before descending to The Basement.
1
Chapter 1: The Hospital
Estimated Time
15-25 min
Difficulty
Low
Overview
The Hospital chapter begins the game. You arrive at the abandoned hospital as officer Jason Thompson, learn the body camera controls, and explore the opening floors before the situation deteriorates. Based on DanQ8000's full-game walkthrough chapter markers, The Hospital runs from approximately 9:02 to 22:54.
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
The Hospital contains introductory environmental puzzles: finding keys, restoring light sources, and opening locked doors. Exact room names and code solutions are being verified against walkthrough footage.
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 15-25 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.
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
Unofficial Fan Guide
This guide is an unofficial fan resource and is not affiliated with, endorsed by, or sponsored by Emberflight Games or Perp Games. All game names, characters, screenshots, and trademarks are property of their respective owners. Chapter structure and guide details are based on the current Steam description and community sources; exact content is being verified as the full release becomes available.
Detailed steps coming soon
We are verifying exact room names, item locations, and puzzle solutions against full-game walkthrough footage. The chapter structure above is based on official chapter markers from community walkthroughs.
