Water
could be used at lower temperatures in a low-pressure system, which would reduce the boiling point.
I'm curious whether or not such a cooling design exists, and what application(s) it might have.
For HVAC, I suspect the temperature would have to be between 0 and 8 C (32--45F), which would be about 5--10 mbar of vacuum.
Note too that it's difficult to cool below 0C (32F) with water, though salt water can reach lower temperatures. Other refrigerants function far better down to ~ -8 -- -12C, or lower. Water-based refrigerants would likely require a secondary cascade.
https://www.myengineeringtools.com/Data_Diagrams/Water_Boili...