A recently proposed blanket concept using water coolant with dissolved lithium compounds for breeding employs water cooled first walls. Water cooled first walls for blankets have also been proposed for some solid breeder blankets. Design options for water cooled first walls are examined in this paper. Four geometries and three materials are analyzed for water coolant at 300°C and 13.8 MPa (2000 psi). Maximum neutron wall loads (with surface heat loads being 25% of neutron wall load) are determined for each geometry and material combination. Of the materials studied, only vanadium alloy is found to be capable of withstanding high wall loads (>10 MW/m2 neutron and >2.5 MW/m2 heat)