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Escape from Monkey Island Hints
How do I get the prosthetic hand?
1 of 6: If you just try and pick it up, Dave hears you and won't let you take it. You need some way to keep him from hearing you.
2 of 6: Maybe you could make some other kind of noise to cover it up.
3 of 6: Music of some sort would probably work.
4 of 6: You're carrying a musical item in your inventory. (Or you should be if you've been to the bank vault.)
5 of 6: Play the music box for Dave.
6 of 6: While the music is still playing, pick the hand up.