Endings
Below are the requirements to get each ending. You may still get an ending even if you don't really try do do these. But if you do all the requirements for a certain ending, you're very likely to get that ending.
Maria Ending
-Immediately go where Maria tells you to go. Do not go the opposite direction or make her tell you twice
-Make sure Maria suffers none or very little damage
-Spend a long time with Maria before leaving her in Room S3 3F of Brookhaven Hospital
-After you leave Maria in Room S3 3F Brookhaven Hospital, return and check on her often
-After leaving Maria's cell in the Labyrinth try to re-enter the room (the white door, not down the stairs)
-At the last long corridor before the Final Boss after the Pyramid Head Duel don't listen to the conversation and quickly run forward until you reach a door
Avoid the Maria Ending
-Hit Maria with the wooden plank a few times but do not kill her
-In the Inventory Examine the Photo of Mary and the Letter from Mary
-After you meet Maria in Rosewater Park run as fast as you can to room S3 3F in Brookhaven Hospital
In Water Ending
-Examine Angela's Knife in your Inventory
-Read the Diary on the Hospital Rooftop
-After viewing the videotape go down to the Reading Room on 2F of "Nightmare" Hotel (Lake View Hotel) and listen to the recorded conversation on the headphones on the desk
-Listen to the entire last corridor conversation of Mary sick in bed before the last Boss Fight
-Go through the game with Red health status often
Leave Ending
-Recover your stamina(health) as soon as it drops. Try to keep green stamina throughout the whole game
-After meeting Maria in Rosewater Park do not head east and do not make Maria tell James which direction the Hotel lies
-Listen to the entire sick bed conversation of Mary sick in bed in the last long corridor before the last boss fight
-Do everything that is recommended to avoid the Maria Ending
Rebirth Ending
-Collect and have all 4 of the secret items (not including Chainsaw and Hyper Spray) in your inventory when you beat the game (have to beat the game at least once first). The Names and Locations of the secret items are:
-White Chrism- Blue Creek Apartments Room 105 1F
-Lost Memories Book- In newspaper stand at the Texxon Gas Station
-Obsidian Goblet- Silent Hill Historical Society Museum in the smashed display case in the second room
-Crimson Ceremony Book- After you view the videotape in Room 312 3F, "Nightmare" Hotel go down to the Reading Room 2F and it's behind the headphones on the bookshelf
DOG Ending
-After you get the Rebirth Ending you can find the DOG Key in the Doghouse in the yard a little west of Jacks Inn
-After you view the videotape in Room 312 3F, "Nightmare" Hotel, use the DOG Key on the Observation Room door on the same floor
UFO Ending
Greatest Hits Version only. After you've beaten the Sub Scenario, pick up the Blue Gem in the Restroom at the beginning of the game. It is by the furthest stall from James. Once you have it you must use it in these 3 places to receive the UFO
Ending:
-"Nightmare" Hospital in the Garden 1F after you've beaten the Hangers Boss
-Right in front of the boat on the Labyrinth dock of Toluca Lake, after you've beaten the Eddie Boss
-Room 312 3F Lake View Hotel, right in front of the right window beside TV before you watch the videotape
After you do that the game will end and you will receive the UFO Ending
