After navigating the GAUNTLET OF SPIKES, as shown in teh previous section, you climb down out of this crawlspace...
...into the same TIERED ROOMS WITH SPIKED WALLS through which you dashed earlier. This time the spikes stay put, so as long as you don't touch them there's no danger. Head for the long, horizontal opening opposite the "Abandon All Hope" sign.
Roll, crouch, and lower Lara into the room below.
Pull the switch to open a gate on the tier above. Then pick up 2 bunches of harpoons.
Again, crawl backwards to the edge and lower Lara into the room below.
This is SECRET #1, MP5 ammo and a large medi pack. Take the goodies and climb back up the way you came.
Then go through the gate you just opened with the switch, retrieving the small medi pack in the doorway.
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