This study focused upon two individuals who used open water swimming (OWS) as a therapeutic means of recovery from a significant period of acute mental ill-health, in which both had attempted suicide. A case study approach was utilised to explore the participant’s backstories, mental ill-health, and subsequent recovery. Semi-structured interviews were conducted in the field where each individual typically participates in OWS. In addition, the field researcher kept reflexive notes on his interaction with each swimmer. Both case study profiles−with very different causal factors that led to attempted suicide - are detailed and parallels drawn between the individuals’ experiences of mental health recovery and the role of OWS within this. Whilst findings are not generalisable, they provide important insight into the potential therapeutic role of OWS in alleviating the impact of acute mental ill-health in relation to suicide and how OWS facilitated a more positive future for individuals. The study also explores how and why such enhancements to mental health might occur.