In Silent Hill f's New Game Plus mode, players can obtain the Sacred Sword by offering five key items to Jizo statues. The required items are:
1. Faded Bride Doll - Found in a house east of Ebisugaoka, unlocked with the Treasure Hunting Game Key.
2. Rusted Flask - Located in front of Sakuko's family shrine in the northern section of the map.
3. Broken Japanese Geta Sandals - Found near the blocked southern pathway before entering the middle school.
4. Cracked Hibachi Brazier - Accessible at the back of Shu's house.
5. Dad's Old Kitchen Knife - Retrieved from a tree east of Shu's house during the objective to head to the Shimizu residence.
After offering all five items, the Sacred Sword can be obtained at the Thousand Year Cedar. To purify the sword, players must complete the Crimson Water Puzzle in the Main Hall of The Dark Shrine during the 'Chase after Fox Mask' objective. The purification occurs behind Shu's house where crimson water fills a stone vessel.