Inside the Hunter's Dream you will see a hill leading up to the only building in the area. This hill has numerous messengers on the ground that will give you your starting equipment. You'll have a choice of three Right Hand Weapons: The Saw Cleaver, Hunter Axe or Threaded Cane. Further up the steps you can choose your Left Hand weapon, in this case a choice of two firearms: The Hunters Pistol or Hunter Blunderbuss. Once you have chosen your equipment, head back down the hill to the farthest Gravestone with Messengers at its base. These Gravestones act as portals to each Lamp you unlock throughout the game. Select the 1st Floor Sickroom and you will be taken back to Iosefka's Clinic