[Background] Combination of traditional and agile methodologies into so-called “hybrid approaches” are today’s reality. The intention is to attempt maximization of benefits from both approaches. Water-Scrum-Fall is a method-ology for hybrid approaches. However, there are no specific guidelines described for Water-Scrum-Fall. [Aim] Explore and describe the real-life implementations of Water-Scrum-Fall in selected large companies in the Czech Market. [Method] Semi-structured interviews and thematic analysis. Results. Insights into real-life Water-Scrum-Fall implementations including involved roles, associated events, and typically created artifacts. [Conclusion] Modified agile methodologies are used in Water-Scrum-Fall, while their benefits are not fully unlocked due to poor implementations. Hybrid approaches still require rigorous analysis before the de-velopment is started, which strongly limits the agility in the following develop-ment phase. Customer involvement or feedback loop is omitted in the develop-ment process. We accompany poor implementations with the unpreparedness of companies to fully adopt Agile and missing senior roles, like scrum masters, to educate teams and organizations in proper agile practices.