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When Laura runs away from James into the Brookhaven Hospital, Maria and James enter it to look for her in the building. Deciding that the special place referred to was the Lakeview Hotel, he agrees to let Maria tag along after she wants to go with him. James, looking for Mary in Rosewater Park, encountered Maria instead. She briefly contemplated suicide but then tossed away her revolver and went to Rosewater Park to wait for James in hopes that he will accept her. When she got into Baldwin's room, Maria found no one inside which confirms that Ernest was a ghost. He also adds that James is a "bad man," which causes her to become aware of her purpose. He sends her in search of a certain item that he cannot retrive by himself and then he realizes that Maria is a manifestation and this is the reason she can speak with him but before he can tell her that she interrupts him saying he can believe or think whatever he wants. In that moment Maria learns the truth about Amy and the fact she was Ernest deceased daughter. Up in the attic she finds the birthday card made by a little girl named Amy for Ernest so she decided to give him the card. She found that the owner of the manison, Ernest Baldwin had locked himself in his room and refused to let her in. She wandered out into the foggy town to find someone alive, eventually ending up in Baldwin Mansion. Ignorant of her purpose, Maria contained some of Mary's memories. Shortly after James arrived in Silent Hill, Maria awoke in Heaven's Night gentleman club. It created the instrument of that punishment in Pyramid Head, who was based off an image of an executioner of Silent Hill from when the town was a penal colony, which James had seen when in Silent Hill. It also spawned Maria in response to his masochistic desire for punishment. When he arrived, the power of the town created different monsters representative of his anxieties. He then set off to look for Mary in Silent Hill. He then hallucinated a letter from Mary, saying that she was waiting for him in their "special place" in Silent Hill. In shock and denial, James's mind caused him to forget his crime and believe that Mary died three years previously.
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He finally snapped and smothered Mary with a pillow. Over the course of Mary's three-year illness, part of James grew to hate Mary for destroying his life. Mary's situation caused her to turn into an erratic person, lashing out at those she loved most, including James. Their happiness ended, when after only a few years of marriage, Mary fell ill with an incurable disease. They had made a vacation to Silent Hill, and Mary fell in love with the place. James and Mary Sunderland were a happily married couple.