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James of All Trades Kill at least one enemy with Wooden Plank, Steel Pipe, Handgun, Shotgun and Rifle in a single playthrough.

Only Way Out Reach the "In Water" ending.

Making Peace Reach the "Leave" ending.

Vicious Circle Reach the "Maria" ending.

That Part of Me Defeat Her.

Obsolete Destroy what you don't need.

Truly Special Reach Room 312.

No Big Deal Kill 75 enemies with ranged weapons.
75/75

Glimmer of Hope Reach the Lakeview Hotel.

A Human Being Kill Eddie.

Inner Sanctum Find His room.

Unforgivable Defeat the Abstract Daddy.

Into the Abyss Reach the end of the long staircase.

Alone Again Survive the chase in Brookhaven Hospital.

Nightmare Fuel Defeat the Flesh Lip.

Blunt Force Trauma Kill 75 enemies with melee weapons.
75/75

Shattered Destroy 50 windows.
50/50

Admitted Reach Brookhaven Hospital.

Uncanny Meet Maria.

Passed Make your way out of Blue Creek Apartments.

Otherworldly Enter the Otherworld for the first time.

You Never Know... Try to open locked doors 50 times.
50/50

Nice and Cozy Reach Wood Side Apartments.

Enjoy Your Stay Reach Silent Hill.

Requiem Obtain all Trophies.

Resolute Agent Complete the main story on at least Standard (Classic) difficulty.

Remarkable Agent Complete the main story on Insanity difficulty.

The Ol' Fashioned Way Use an ink ribbon to save at a typewriter.

Grace and Goliath Defeat a Chunk as Grace.

Curator View all concept art.

Model Mania View all models.

Minimalist Complete the main story without Grace using the blood collector.

I'm The Best There Is... Collect all Trophies

Repressed Memories Unlock the hidden memory in Nightmare Trials

Ultimate Predator Reach Player Level 36
36/36

One More Story Complete the Main Story

A Sinister End Defeat Essex

Small Mercies Set Walter free

Crate Collector Collect all Material Crates
68/68

Pathways of the Mind Discover all Nightmare Doors
14/14

Parry Perfected Parry 500 times
500/500

Full Barrel Collect all Whisky Bottles
20/20

A Previous Life Learn the truth about your past

Cut Just As Deep Kill 100 enemies with the Helix Claws
100/100

Had To Put Him Down Defeat Sabretooth

Harmer's Market Destroy all vendor stalls during the Sabretooth boss fight

Undercover Dress up as Patch

Secondary Mutations Reach Adaptation Level 10
10/10

Adamantium Armory Craft enough suits to fully upgrade your Health
20/20

Struck Dead Defeat Deathstrike