Climb into the opening with the carving, "Abandon Hope All Ye Who Enter Here." (Encouraging, isn't it?)
Ahead is a square pit with a spiked ceiling that begins to descend as soon as you enter (or jump over) the pit. To get the small medi pack in the pit with minimal injury, position Lara facing the pit with her back against the wall next to the entrance.
Hold Action as you take a standing jump into the pit.
Then immediately roll. Continue to hold Action and Lara should pick up the health pack.
Keep holding Action as you run forward into the wall, and she'll climb back onto the ledge where you started.
As soon as she pulls up, roll in order to avoid taking too much damage from the descending spikes.
Wait for the spikes to descend all the way, but don't try to walk over them. They're still deadly even when they've stopped moving. Instead, move down the slope just a little and then jump over to the ledge on the left.
If you pulled the switch in the room above, the spikes in the next pit will already have descended, making it easy to just take a running jump over them to the next ledge.
NOTE: If you neglected to pull that switch, you'll need to turn around, jump back over the first pit, drop down into the narrow hallway with the spiked floor near the "Abandon Hope" sign, and then climb the vines on the left wall to reach the ledge above on the right. Turn right and take a running jump over to the next ledge. Then drop down into the room on the right near the dog statue. Follow the main walkthrough to reach the switch. Use it to lower the spikes. Then return here and continue.
The third pit also has a descending spiked ceiling, and there's a box of shotgun shells below. To get them, stand at the edge of the pit directly facing the ammo, as shown here.
Hold Walk and take two steps back from the edge.
Now hold Action as you take a standing jump forward into the pit.
Lara should land directly on top of the shotgun shells. Continue to hold Action and Lara will pick them up.
Keep holding Action as you run forward into the wall, and Lara will pull up onto the ledge with the barred window.
Again, roll to avoid the descending spikes.
Wait for the spikes to descend all the way and then take a standing jump over to the ledge on the right. Do not run on toward the edge of the next pit yet or the spiked ceiling will begin to descend before you're ready. Instead take a moment to save the game and look around.
There are 2 boxes of shotgun shells sitting on the ledge to the left. (One of these will be the SHOTGUN itself if you didn't get it in the previous level.) The exit from this fourth and final pit is a crawlspace at the bottom of the pit in the far left corner. If you don't care about getting the ammo, just run off the edge and quickly crawl into the passageway to escape (not shown).
Otherwise, take a running jump over to the farther of the 2 ammo boxes.
Hold Action and Lara should pick it up immediately after landing.
Pivot slightly to the right if necessary and hop back while contining to hold Action to pick up the second box.
Then quickly run off the edge before the spikes descend too far and cut off your escape route.
Duck and crawl under the overhanging ledge. Then turn around and crawl backwards out of the opening.
NOTE: If you accidentally save the game after the last set of spikes have descended, it's possible to get out of this area by jumping back across the pits to the area where you came in. Then climb the vine-covered wall near the "Abandon Hope" sign to get back to the top of the tall room with the falling rubble. However, you will miss Secret #1. Better to reload an earlier save or download one of my saves.
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