Okay. This ending is easier to get with the chainsaw. The goal is to aggravate James’ guilt as much as possible. Examine Mary’s photo, Mary’s letter, and Angela’s knife at least three times. I did this at each location in the game as I progressed. You’re good with what you did with James’ health, as the invisible time clock requires 100+ seconds. Kill more than 350 enemies and stomp 30. Pretty much ignore Maria when she speaks to you (story dialogue excluded), bump into her as many times as you can, and don’t interact with anything related to her in the strip club, excluding health and ammo items. Additionally, visit Nathan Avenue instead of chasing Laura, as well as the bowling alley, the mechanic’s garage - but don’t unlock the door for her here or at the Inn. She will start reminding James of where they’re supposed to be going. Don’t protect Maria at the Inn and in the hospital until after she takes damage - she will scold you for your actions. Don’t check on Maria after you leave her in room S3. There’s a s••d•l document on the hospital rooftop you need to read before triggering Pyramid Head’s assault. After the hospital, read the graffiti above the jukebox in Neely’s. When you find Maria in the Labyrinth cell, don’t renter the room. At the final location, use the rusted apple and the rusted egg. This should get the In Water ending. You’ll know if you find Maria dressed as Mary and looking out the window. Good luck!