Blackthorn Asylum
Last checked · Checked against the development build
How do you get into Blackthorn Asylum?
The asylum is locked until someone reads the Blackthorn Admission Ledger, a note in Memorial Park. That unlocks it for your whole team for the run: the doors swing open and the chains drop. The first time anyone sets foot on the grounds afterward, 19 residents wake.

Getting there
Follow Birch Lane onto Blackthorn Hill Road and climb to the gate. The full unlock is in the Blackthorn Admission Ledger walkthrough.
Layout
- Ground floor: the admissions hall and stairs, Ward A and the restraint room, the nurse station, the day room, the cafeteria with the ritual circle, and the kitchen.
- Upstairs: records, Dr. Vance's office, and a block of six cells.
- Outside: ivy, boarded windows, a sign missing its N (the letter lies on the step), a green lamp over the doors, a dry fountain with a DO NOT DRINK warning.
The residents
19 infected wake when someone first steps onto the grounds after the unlock: mostly Walkers, plus three Runners, a Screamer and a Brute. They are not replaced when killed. You can play it quiet, or loud and fight through.
What's inside
SpoilersReveal this section
- The Signal Remote, at the nurse station.
- Dr. Vance's Ring, in his office upstairs.
- The ritual circle in the cafeteria, where the Rite of Stillness is performed.
- Two tapes: the Night Nurse and the Records Room.