Endings

Perform

• Listen to the entire hallway conversation
• Examine Mary's picture and letter occasionally
  
• Heal immediately after being hurt
  
• Exceed maximum health limit

Avoid

• Do not stay close to Maria
• Do not attempt to return to Nathan Ave. after meeting Maria

Perform

• Stay close to Maria
  
• Make sure Maria recieves little damage
• Revisit Maria's hospital room when she lays down
  • Room S3, 3F, Brookhaven Hospital
• Try to return to Maria's jail cell after exiting
  • Labyrinth

Avoid

• Do not examine Mary's picture and letter
  
• Do not stray far from Maria or bump into her often
  
• Do not attempt to return to Nathan Ave. after meeting Maria

Perform

• Stay at low health throughout the game
• Examine Angela's knife often
• Read the diary on the hospital roof
  • RF, Brookhaven Hospital
• Read the second message to James
  • Bar Neely, after leaving Brookhaven Hospital
• Listen to the headphones, after watching the video tape
  • Reading Room, 2F, Lakeview Hotel
• Listen to the entire Hotel hallway conversation

Avoid

• Do not heal right after taking damage
• Do not return to check on Maria if given the opportunity. Avoid her at all costs

This is a special ending that can only be unlocked after you complete the game once and replay the game off the same Save File. To learn more details about the items below, refer to the Items, Keys & Weapons page.

Perform

• Collect item "White Chrism"
  • Room 105, 1F, Blue Creek Apartments
• Collect item "Book of Lost Memories"
  • Texxon Gas Station newspaper dispenser
• Collect item "Obsidian Goblet"
  • Shattered display cabinet, Silent Hill Historical Society
• Collect item "Book of Crimson Ceremony"
  • Bookshelf in the Reading Room, 2F, Alternate Lakeview Hotel

This is "joke" ending that can only be obtained by receiving all three normal endings ("Leave," "Maria" and "In Water") or the "Rebirth" ending on the same Save File.

Perform

• Collect item "Dog Key"
  • Dog house next to Jack's Inn
• Use item "Dog Key"
  • Observation Room door, 3F, Alternate Lakeview Hotel, after watching the video tape in Room 312.

This is a "joke" ending that can only be obtained by completing both the "Letter From Silent Heaven" and "Born From a Wish" scenario once on the same Save File. This ending is only available on certain versions of the game. Refer to the Regions and Platforms section to find which versions include this ending.

Perform

• Collect item "Blue Gem"
  • Next to the toilet at the beginning of the game
• Use item "Blue Gem"
  • Garden, 1F, Alternate Brookhaven Hospital
  • On the dock before entering the row boat, Toluca Lake
  • Patio window before watching the video tape, Room 312, 3F, Lakeview Hotel