2. How to Get the In Water Ending
Then we have the Water Ending, which is also considered to be the bad one out of all. Because in this one, James ends up giving in to his despair and takes his own life. The way you get this ending is by keeping James in a very low health state for most of the game.
Besides that, you need to frequently examine Angela’s Knife in your inventory. Do this often when you are in different locations. Also, make sure to listen to Mary’s final words in the corridor after that Dual Pyramid Head fight. Also for this one, you will need to ignore Maria, and just don’t check up on her. If you get this right, James will eventuall end up taking his life by drowning himself in the Toluca Lake.