What do you need to help with?

  1. What do you need help with?
  2. What do you need to help with?
    Could you tell me what is the difference in meaning between #1 and #2?
    I was told that #2 is possible in some contexts. Could you give me the context in which #2 can be used?
    Thank you.

1 - the help is beng offered to the person referred to as ‘you’.
2 - the person referred to as ‘you’ is offering help to someone else.

Thank you for your useful help!
I think I am starting to understand it. If possible, could you tell me what are the possible answers for #2?
What do you need to help with?
Is it possible to answer the question as follows?
I need to help someone(him) with a car.

It’s highly unlikely as there are better ways of expressing the same idea, but imagine this conversation.

Please sit down.
I can’t, I have to leave.
Why?
I’ve offered to help do something.
What do you need to help with?
I said I’d help to fix my brother’s car.

Thank you for your nice example!