As stated by Pauline Glick, William was in fact, not mentally unstable like most of the variants encountered in the asylum before he was subjected to the Morphogenic Engine. His mother handed him over to Murkoff for a large sum of money offered to her by the company, apparently unbeknownst to Billy.
William Hope was the first known host of the Walrider. Hope believed that Rudolf Wernicke is his father, as stated by Wernicke. The only time Billy Hope is seen in person is at the end of the game in the Underground Lab. He's in a large sphere, presumably glass, with many tubes and instruments running into and out of his body. He's being kept alive by a large reservoir, filled with various chemicals, and is constantly being kept in a lucid dream state, in order to work as efficiently as possible with the Walrider. The large machine hosting the entire process, the Morphogenic Engine, is present feet away from his sphere. After Miles kills Billy by stopping the flow of fluids from the reservoir and turns off power to his machine, he bleeds out inside the machine rapidly. The Walrider then leaves Billy's corpse, and Miles becomes the new host.
Outlast: The Murkoff Account
Billy is briefly seen being prepped for the Morphogenic Engine.
Despite being apparently killed by Miles Upshur, the Walrider, possessing Billy's body, later turns up at the caravan of Billy's mother, Tiffany Hope. While Tiffany was conversing with agents Paul Marion and Pauline Glick, Glick mentions that Billy was in fact, not mentally ill, but that Billy’s mother had sold him to Murkoff for a large sum of money. After hearing this, Billy attacked Tiffany, telling her that he "loved her." Billy then tore her apart while the two agents escaped. Murkoff then attacked the trailer with sonic weaponry mounted on several large vehicles surrounding the trailer, presumably ending Billy's life for good.
Billy is depicted as being a well-built man with blue eyes and a shaved head, in his early 20s. The Morphogenic Engine has had very little effect on him, although his skin is covered with bulging veins and other scarring. Hope is shirtless, donning only a pair of blue underwear and handcuffs around his wrists. Whilst being strapped in one of the Engine's pods, a number of tubes can be seen entering every orifice in his body.
- The Murkoff Account Issue #3, Page 8
- The Murkoff Account Issue #2, Page 8
- The Murkoff Account Issue #3, Page 7
- The Murkoff Account Issue #3, Page 21-22