

Later in her illness, James visited Mary less frequently because she was emotionally volatile. He searched through medical books for information about Mary's illness, but never found anything useful. James questioned Mary's doctors about her illness, and could not believe they would just let Mary die. Her doctor predicted she would have less than three years left to live and told James that there was no effective treatment for her condition. Three years prior to the game, Mary was struck with a terminal disease, and she deteriorated to the point of having violent mood swings, lashing out at James in anger. While leaving the town, James accidentally forgot the videotape in the hotel and the couple left Silent Hill. She asked James to promise her to take her to Silent Hill again some day, but the video tape ends before James replies. Mary said in the videotape that she heard that Silent Hill used to be a "sacred place" and that loved the town and would love to go to Silent Hill again one day. They stayed in the Lakeview Hotel, where James recorded a videotape of Mary. Prior to the events of Silent Hill 2, Mary and James decided to take a vacation in Silent Hill after reading a brochure for the town. Mary liked to play the piano and even though she wasn't very good at it, James still loved to hear her play. Their affection evolved from a blazing passion to a peaceful and stable relationship. Before Mary and James were married, James would listen to Mary play the piano.

James met his wife, Mary, at a house party held by a mutual friend.
