Tomb of Semerkhet - Secret #7 and Level Exit

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Go through the doorway opposite the climbing pole.

Tomb Raider Last Revelation screenshot
Pull up through the hole in the ceiling...

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...into a room with two ramps covered in carved hieroglyphs. There's also a doorway above the ramps and another opening in the ceiling.

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Turn around and jump to grab the black switch above the hole in the floor. (The switch is almost impossible to see in the dark room. If you're all out of flares, try shooting pistols for a little extra light.) This raises a golden cage between the two ramps.

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Climb back up through the opening in the ceiling. Go up either ramp and climb onto the cage. Then pull up through the opening in the ceiling above the cage...

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...to find SECRET #7 (37/70), the UZIS/Uzi ammo, a large medipack, and explosive arrows.

[Tomb of Semerkhet Walkthrough]