You Can Urinate
Previously we’ve seen Sam pull from a variety of tools in an equipment wheel, such as a ladder and a rope, to help him explore the environment. However, there’s another unique tool in Sam’s arsenal: the ability to urinate. Yes, you’re not drunk. You read that correctly.
It seems that Sam’s bladder will fill up over time, as you can see from the heads-up display indicating the number of milliliters of urine in his bladder. According to Kojima, urination can be a tool against enemies. Though, the specifics of how remains unclear.
After Sam finished peeing, a weird mushroom sprouted from the ground. Kojima noted that Death Stranding’s world is connected, so if more players urinate on the spot, then that mushroom will grow fully and become a useful consumable you can pick up.