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Just like the original PS2 game, there are multiple different ways Silent Hill 2 can conclude, from the serious to the downright wacky. You will either need to fulfil certain requirements or find specific items to get them. In this Silent Hill 2 guide, we're going to reveal how to get all Endings.

There are 8 endings in Silent Hill 2, of which 6 return from the original game and a further 2 are entirely new for the PS5, PC remake. To get them, you'll either need to fulfil certain requirements or find specific items. In this Silent Hill 2 guide, we're going to reveal how to get all Endings.
On this page:
How Do You Get All Endings in Silent Hill 2?
There are 8 endings in Silent Hill 2, of which 6 return from the original game and a further 2 are entirely new for the PS5, PC remake. How the game handles unlocking these endings isn't like most other games, however. Rather than obvious decisions you make throughout your playthrough, Silent Hill 2 bases what ending you get on how you play the title, and in the case of New Game+, what secret items you get. At no point is there an on-screen choice for you to make; how the endings are handled is a lot more vague.
Luckily, we can pull on over 2 decades of experience with the PS2 game, since the requirements for the original endings in the PS5, PC remake mostly remain the same. You'll be judged on how much you heal James, how you handle Maria, and more. Below you'll find how to get all Silent Hill 2 endings. There's a Trophy for unlocking each original ending.
How to Get the Leave Ending
Due to its requirements, the Leave ending is what most first-time players will get on their first playthrough. It requires you to keep James healed up as much as possible, which would be a natural need for a newcomer, and to not check in with Maria when you're in Brookhaven Hospital and the Labyrinth. You also cannot interact with Angela's Knife in your inventory for too long, which a new player would never know they need to do in the first place. Essentially, this ending is all about showing your commitment to your wife Mary throughout a playthrough rather than taking an interest in Maria.
To get the Leave ending, fulfil the following requirements:
Keep James' health as high as possible throughout the game by using First Aid Kits and Spray Cans.
Do not check in on Maria when you're in Brookhaven Hospital or the Labyrinth.
Do not interact with Angela's Knife in your inventory for more than a few seconds at a time.
How to Get the Maria Ending
The Maria ending is essentially the opposite of the Leave ending, where you prioritise Maria over Mary. When she accompanies you during gameplay, you need to keep her safe as much as possible. Avoid allowing her to take damage, and protect her from enemies. Then, when you are able to check on her in Brookhaven Hospital and the Labyrinth, you must do so. You need to avoid interacting with Mary's Photo and her Letter in your inventory to really hammer the point home, don't listen to the entire sickbed conversation at the end of the game.
To get the Maria ending, fulfil the following requirements:
Keep Maria's health as high as possible throughout the game by using First Aid Kits and Spray Cans.
Check in on Maria when you're in Brookhaven Hospital or the Labyrinth.
Interact with Angela's Knife in your inventory for as long as you like.
Avoid interacting with Mary's Photo and her Letter in your inventory.
Don't listen to the entire sickbed conversation at the end of the game.
How to Get the In Water Ending
For the In Water ending, you basically need let James get beat up and rarely help him. Instead of healing him after being attacked, you need to leave James in a damaged state where there's red blood on the screen as much as you can. Then, you'll want to interact with Angela's Knife in your inventory as much as you can while completely avoiding Mary's Photo and her Letter.
To get the In Water ending, fulfil the following requirements:
Allow James to get damaged and do not use First Aid Kits or Spray Cans to heal him throughout the game.
Interact with Angela's Knife in your inventory for as long as you like.
Do not interact with Mary's Photo and her Letter in your inventory at all.
How to Get the Rebirth Ending
The Rebirth ending is only possible on a New Game+ playthrough, as you need to find and collect 4 new items spread throughout the game that are only unlocked in this second run. They are, in the order you find them in the game:
Hyper Spray Can
Book of Lost Memories
Maria's Letter
White Chrism
You'll find these 4 items in different locations throughout the game on a New Game+ run, and we'll be publishing guides to help you find them all in the near future. Once you have them, you simply have to complete the game again and you'll get the Rebirth ending.
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