"These look hard to walk in, but that's the price you pay when you're drop dead gorgeous like me.
— Alyssa Ashcroft, upon examining this item.
The Stiletto Heels, referred to literally as the Spike Heels (ピンヒール Pinhīru) in the Japanese script, is a special item that can be found in the titular scenario of Resident Evil Outbreak.
The Stiletto Heels is located in the Liquor room, on the first pile of boxes in the other side of the area, facing the entrance. It is found in the Outbreak scenario exclusively on path C.
This item is exclusive to Alyssa, and is one of three items required to unlock her second alternative costume, Midnight Caller. The other components are the Red Lipstick and the Red Dress.