This room contains 3 large thrones (and a save crystal in NG+). Notice that they are labeled with the initials of the Atlantean rulers: Natla, Tihocan, and Qualopec. Climb up onto each of the thrones...
...to unlock the "QTN" achievement/trophy.
All three seats have movable blocks as their bases, but the one beneath Natla's throne actually moves. Push it twice to get into the area behind.
NOTE: Instead of going through one of the trapdoors, as described below, you can take a small shortcut, as described in another footnote following the main walkthrough.
Or, taking the usual path, after pushing the block, head to the right, toward the back of the room behind Tihocan's throne. Here you'll find 2 switches with trapdoors beneath them. There's also a regular door between them, which doesn't open yet. It doesn't matter which trapdoor you choose, since both lead to the same place.
If you choose the left switch, use it...
...and quickly backflip off the trapdoor as it drops open.
Turn around and hang from the edge of the opening. Let go and, as soon as Lara hits the slippery slope below...
...jump to clear the spike pit.
Continue up the slope and turn left.
Pass by the boulder, which would have been a hazard if you'd used the other switch, and climb up through the opening above the single low step. (Skip the next section and resume here.)
- OR -
For the trapdoor on the right, throw the right switch and quickly backflip off the trapdoor.
To minimize fall damage, hang from either side of the opening and traverse toward the switch before dropping into the room below. (You can also just fall through the trapdoor, but Lara loses more health that way.)
The slope below is not slippery, so there's no rush here. Take a standing jump over the lava pit, then immediately backflip onto the ledge where Lara just was, in order to avoid a rolling boulder, which then lands in the pit.
Hop back across the lava and continue up the slope then to the left.
Climb through the opening above the low step.
Throw the switch in the small room above to open the red door between the trapdoors.
Continue climbing to emerge in the throne room above and behind Qualopec's seat.
Hop down and head forward and around to the left.
Go through the red door between the switches and follow the passageway to the next area.
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