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Not a doctor, but I can think of two possibilities:
Some vitamins and medications are water soluble, so taking them with water helps make sure it all gets into your system instead of being excreted.
2L isn't very much for a full day. People are different, but even 2.5L/day is a little low for many healthy adults. This may be their way of getting you to make sure you're staying hydrated but framing it as a health necessity rather than just a recommendation. Even without the medication, 2L is probably a bare minimum for most people.
This might piss off some of the hydro-homies out there but when talking about water in this context it's also important to remember that food often contains more hydration than most people give it credit for. Even "dry" foods can end up being like 50% water by weight, and something like soup is obviously very close to 100% water, so people who overcompensate by trying to drink like 8L of straight water a day can easily get themselves into serious trouble, and water poisoning is actually a real thing that can happen. I think the least controversial take is that for most people, drinking when you're thirsty is totally sufficient to maintain adequate hydration unless you're in an extreme situation or you have a personal predisposition towards chronic dehydration. I'm not a big fan of the overgeneralized advice that everyone needs to constantly drink "X" much every day.
I can drink 5L on hot days without any increase in peeing. On a cold day I only drink 2.
Have you discovered how sweating works?