How do you get all Endings in Silent Hill 2? 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.

How Do You Get All Endings in Silent Hill 2?

Silent Hill 2: How to Get All Endings Guide
Image: Push Square

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:

Do...

  • Heal yourself as much as possible
  • Listen to the whole sickbed conversation between James and Mary in the hallway before the final boss

Do Not...

  • Check on Maria in Brookhaven Hospital and the Labyrinth
  • Interact with Angela's Knife in your inventory

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:

Do...

  • Check on Maria in Brookhaven Hospital and the Labyrinth
  • Avoid letting Maria take damage from enemies, protecting her as much as you can

Do Not...

  • Look at the Photo of Mary or Mary's Letter in your inventory
  • Listen to the whole sickbed conversation between James and Mary in the hallway before the final boss

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:

Do...

  • Keep James in a damaged state as much as possible and avoid healing
  • Interact with Angela's Knife in your inventory multiple times
  • Listen to the whole sickbed conversation between James and Mary in the hallway before the final boss

Do Not...

  • Look at the Photo of Mary or Mary's Letter in your inventory

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:

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.

How to Get the Dog Ending

The Dog ending is one of 2 more comical conclusions to Silent Hill 2, and is another that can only be unlocked in a New Game+ playthrough. In order to get it, you must find the 2 following items:

  • Broken Key Part
  • Bone Key

We'll have guides documenting their locations shortly, but once you have them, you can combine them in your inventory and save it until you reach the Lakeview Hotel. You can use it to enter the Observation Room in Lakeview Hotel, next to Room 312 after watching James' Tape. This ends the game in a very funny way once you head inside.

How to Get the UFO Ending

The second humorous ending found in New Game+, you need to find a new item called the Blue Gem and then use it in 3 specific places in the game. They are:

  • The rooftop of Saul Street Apartments in East South Vale
  • On the pier at Rosewater Park after meeting Maria for the first time
  • Somewhere in Lakeview Hotel (to be updated once the exact location is known)

For a full overview and walkthrough of these requirements, refer to our Blue Gem Location and Where to Use It guide. If you then use the Blue Gem in Room 312 in the Lakeview Hotel after fulfilling the above requirements, you'll get the UFO ending.

How to Get the New Endings

2 new endings have been added to Silent Hill 2 with the PS5, PC remake, but we're yet to discover what they are or how to get them at the time of writing. Given there are 2 new collectible types in the Glimpses of the Past and the Strange Photos, it's speculated that they may have something to do with finding them all. Once the requirements are known, we will update this guide to help you get them yourself.

Did you find our guide covering how to get all endings in Silent Hill 2 useful? Let us know in the comments below and check out our Silent Hill 2 guide for more help and information.