The Fallen Star Medal is an item obtained in Silent Hill: Homecoming. It is one of three medals used to solve the Medal Puzzle in the Otherworld Shepherd House, it is located on a pedestal in the attic. When examined, it is revealed that the Fallen Star Medal is awarded "For dereliction of duty". It likely references Adam Shepherd's failure to sacrifice his son Alex Shepherd and fulfill the family's pact with God.
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