Silent Hill 4: The Room - Chainsaw

Chainsaw

Beat the game once, save and load the new data. Then, in the Forest World, near the car, search for a cut trunk, the Chainsaw is right beside it.

Eileen's Nurse

Costume Complete the game on any skill level and then restart using the same save. Check room 302 for the costume. It can be selected on the 3rd run through