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After entering the Forbidden Woods, Patches will replace any NPC in a red-lantern home/window in the Frontier or Yharnam areas. Speaking with him will grant the Tonsil Stone , which reveals the Lesser Amygdala and allows you to be transported by the Lesser Amygdala in Cathedral Ward, near the entrance to Yahar’gul, Unseen Village, to the Lecture Building 1F.

After reaching the Lecture Building 1F:

Patches will reside in the room across from the Lecture Building 1F lamp and can be spoken to through the door, but he won’t say much. If you continue to the Nightmare Frontier and make your way to the treasure overlooking the swamp alley, past the Giant Lost Childs, a cutscene will occur in which Patches knocks you into the pit below.

After being knocked down in the Nightmare Frontier:

Head to the Lecture Building 2F, accessed by examining the mummy after beating The One Reborn, and take the ladder near the Church Giant to speak with Patches face-to-face for the Beg for Life gesture.

If you select “Not at All” Patches will hand over the Anti-Clockwise Metamorphosis Rune and will appear in the Chalice Dungeons as a merchant.


  • 5,453 Blood Echoes
  • Great One’s Wisdom
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Guide Information
  • Publisher
    Sony Computer Entertainment
  • Platforms,
  • Genre
    Action RPG
  • Guide Release
    1 May 2015
  • Last Updated
    14 July 2021
  • Guide Author
    Stephanie Barnes

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Many travellers seek the city of Yharnam, famed for its Blood Ministration that many believe holds the key to cure their afflictions, but when an outsider arrives in town they find the city plagued with an endemic illness that has transformed most of its citizens into bestial creatures. Tasked with the job of hunting down the inflicted and finding something known as the Paleblood, the new Hunter finds themselves facing off against a group that wish to birth a god.

Join us as scour the darkness allies and defeat dangerous beasts while covering every aspect of this game including the following:

  • A detailed main walkthrough covering all events, detailed enemy strategies, and all 3 endings.
  • A checklist of all NPC events, with outcomes based on your decisions.
  • A complete trophy guide to help you reach that platinum trophy.
  • And much, much more!

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