This expression describes what eventually happens at the end of a process:
If you keep drinking and smoking, you're going to end up with all kinds of health problems.
You can use it for either positive or negative results:
We ended up with over twenty thousand dollars in sales.
Bugs got to the squash last summer, and we ended up with nothing left.
This last example has "left" at the end. "no ___ left" and "nothing left" are commonly used in this phrase.