For some, this one might have been pretty straight forward but I’ve been asked about this one a few times and that surprises me, like good job! That means you got a lot of the focused deaths/endings on Strade’s path.
This is just the one where your health hits zero. Which, I mean it’s easy but at the same time, with Strade, you can get him to the bleeding heart level which leads to a different ending and a different CG, or your sanity drops, again leading to a different ending and CG. Give him some of the basic answers at the bar (to help with his heart lvl). But when it’s time to leave, say ‘I better head home’ so that way he follows you out; bite his hand so you lose some health right off the bat (there’s some heart gain but it’s minimal compared to the health loss). Then, stay quiet for the next answers just to piss Strade off! Don’t scream when prompted but for sure, the next time he asks how you’re doing, tell him ‘it hurts’ or else risk getting a different CG (Strade #2). Continue with the safe answers (misunderstanding/refuse food/drink/wait stop) and let Strade cut you up. Then when prompted, refuse the stitches as well as resist screaming and your health will drop! The screen changes to his boots and a bloody floor (CG 1/32) and that leads to the ending ‘You bled out!’