Care Center Basement Walkthrough — Resident Evil Requiem (RE9)

Author note: Written by Jachin, a 23-year Resident Evil series fan based in Seoul, South Korea. This guide is based on 6 full RE9 playthroughs on PS5 and Steam (Casual → Insanity → NG+ Insanity completions). All strategies, timings, and locations have been personally tested across the v1.02 patch. AI tools were used only for grammar review and note organization; no AI-generated content appears in strategy analysis.

Verified on: v1.02 + DLC patch · Last reviewed: May 30, 2026 · About the author · Editorial policies

PUBLISHED MAY 2026 · 9 MIN READ · DIFFICULTY: ★★ MEDIUM · MILD SPOILERS
⚠ SPOILER LEVEL: MEDIUM

The Care Center Basement is the lab section underneath the Rhodes Hill Care Center. This RE9 walkthrough covers the organless corpse puzzle (Artificial Heart + Lungs), the blood specimen analyzer, the Chunk #2 (Timothy B. Jackson) attic encounter, and the Quartz puzzle pieces leading to the sewer transition.

LocationCare Center Basement (lab corridors + sterilization chamber)
Playable asLeon S. Kennedy
Items obtainedArtificial Heart, Artificial Lungs, Quartz Pieces ×2, MSBG 500 upgrade
BossesChunk #2 Timothy B. Jackson (mandatory)
TrophiesLab Rat (Bronze), Anatomy 101 (Bronze)
Difficulty★★ Medium (6/10)
Table of contents

Lab descent overview

The Care Center Basement is where Resident Evil Requiem starts taking off the gloves. Leon descends into a derelict pharmaceutical lab where the Raccoon Strain was first isolated, and you transition from the relatively-safe upper floors into a tight, ammo-light environment full of mandatory puzzles and one of the harder mid-game boss fights.

Plan to enter this chapter with at least 40 handgun rounds, 2 First Aid Sprays, and 3+ Hemorrhetic Injectors. If you missed any of those upstairs, double back before the laundry-chute drop — there is no return until after Chunk #2.

Descent from the East Wing

There are two ways into the basement. The laundry chute on East Wing 1F is a one-way drop — fast but it locks you out of the upper floors until you complete this chapter. The maintenance staircase at the end of the East Wing 2F hallway is slower but reversible.

  1. If you still need the East Wing 2F safe (Safe #2), take the staircase. The laundry chute leaves it permanently out of reach for this run.
  2. If you have everything you need, the chute is the faster route and drops you next to the first save room.
  3. Use the save room immediately — the next 30 minutes are unsafe.

Lab corridors: the organless corpse puzzle

The west lab corridor ends at the Anatomy Room, which contains the famous organless corpse puzzle. The body on the slab is missing both an artificial heart and a pair of artificial lungs, and the door beyond won't open until you place both.

  1. Artificial Heart — locked in the wall cabinet across from the slab. The key is in the desk drawer of the adjacent Records Office.
  2. Artificial Lungs — sitting on the upper shelf of the storage closet to the east. Push the rolling ladder over to reach them.
  3. Insert both in the corpse (heart first, then lungs). The door clicks open and the corpse drops a Hemorrhetic Injector.

For step-by-step images of the symbol orientation, see our full puzzle solutions hub.

Blood Specimen Analyzer puzzle (Sterilization Chamber)

Through the corpse door is the Sterilization Chamber clean zone. The Blood Specimen Analyzer terminal is on the right wall. You need to click the correct three squares of a 4×4 grid to unlock the inner lab — get it wrong and the chamber's decon spray bursts in your face (light damage but it wastes time).

💡 Tip: The grid pattern matches the blood-type chart on the wall to your left. Read the chart, then click the squares whose row + column form the matching A/B/O pattern. There are no random elements — the answer is the same every run.

Get this right and the inner lab opens. Inside: an MSBG 500 shotgun upgrade attachment, two crafting components, and the first of two Quartz Pieces for this chapter.

Chunk #2 boss encounter (Timothy B. Jackson)

The attic above the Sterilization Chamber is the arena for the Chunk #2 fight — the larger of the two Chunk variants and the first proper boss of the basement. Timothy B. Jackson is mandatory; you cannot skip this fight to continue.

The MSBG 500 shotgun next to the dead orderly at the arena entrance is the key. Pick it up before triggering the cutscene. Full strategy in our Chunk boss guide.

Do not engage on full pistol-only loadout. Chunk #2 has roughly 3× the HP of Chunk #1 and the attic gives him a clear lunge line. The shotgun pickup exists for a reason.

Sterilization Chamber: hidden safe + files

After Chunk #2 falls, the attic gate slides open and you can drop back into the Sterilization Chamber. The decon system is off now — the chamber is safe to wander.

Sewer transition to the Courtyard

The basement's east passage ends at a flooded sewer hatch. Use the Quartz Pieces collected this chapter to unlock the wheel mechanism (insert both into the pedestal slots — the order is shown by the wall etching).

The hatch opens onto a short ladder down to the Care Center Courtyard, where the Blister-borne fight is waiting.

What comes next: the Courtyard

The Courtyard chapter is shorter than the basement but introduces the four-cyst Blister-borne pattern that you'll see again in the sewers leading to Raccoon City. Stock up on whatever ammo you can craft from this chapter's drops before climbing down.

Continue with our Care Center Courtyard walkthrough, or jump ahead to the Blister-borne boss guide if you only need the fight tactics.

RELATED GUIDES
Anatomy Lab ranked #5 in locations tier list Chapter 3 ranked #5 in our chapters tier list How to Beat Chunk Quartz Puzzle Solutions Care Center Courtyard Care Center Main Floor All guides All 8 endings explained (full spoilers) NG+ complete unlock guide Difficulty comparison (Standard vs Insanity) Eveline complete character profile 10 hidden Easter eggs

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