The Blood-Inscribed Spade is one of the items that Henry Townshend receives in Silent Hill 4: The Room. Henry can obtain the spade from Jasper Gein in the Forest World, who had originally obtained it from Joseph Schreiber, but only after giving Jasper something in exchange. After revealing that he is tremendously thirsty near the Wish House Orphanage, Henry is left to find a drink for Jasper. After retrieving chocolate milk from his kitchen refrigerator and giving it to Jasper, Henry will be given the blood-inscribed spade. On the spade is written: