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Just Making Things Worse Reach the "Abandoned" ending.

Thorough Inspection Collect all of the documents.

Eraser Defeat the Weight.

Creative Process Kill at least one enemy with Plank, Pipe, Pistol, Shotgun, Flare Gun, Bottle and Brick in a single playthrough.

Can't Change Things Exhaust the options in the Alternate Facility.

Resourceful Unlock all resource containers.

Blur Your Eyes Collect all of the strange postcards

Find Yourself Make it back to the office on the 10th Floor.

Key To The Castle Unlock the path to CEG Tower.

From Scratch Create 20 new items by combining others.

Pull! Throw a bottle into the air, and shoot it with the pistol.

Long-Range Masonry Hit any enemy in the head with a brick from over 15 meters away.

Many Into One Accept the transfusion in the Alternate Medical Centre.

Isolating Experience Wait in a hiding spot for 60 seconds.

Observation Collect 50% of all documents.

The Patient Tend to the Patient.

Save It For The Patients During the missions “Rounds” and “The Patient”, don’t use any healing items.

Static Distractions Distract 10 Enemies with a radio in the world.

A Long Night Ahead Report to Dr. Glenn at the Medical Centre.

Resignation At the Shorefront Family Clinic, show Zoe you understand.

Welcome To St. Amelia Escape the Otherworld and return to the town square.

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

Ultimate Predator Reach Player Level 36
36/36

Crate Collector Collect all Material Crates
68/68

Repressed Memories Unlock the hidden memory in Nightmare Trials

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

One More Story Complete the Main Story

A Sinister End Defeat Essex

Small Mercies Set Walter free

Pathways of the Mind Discover all Nightmare Doors
14/14

Full Barrel Collect all Whisky Bottles
20/20

A Previous Life Learn the truth about your past

Had To Put Him Down Defeat Sabretooth

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

Shish Kebab Impale an enemy on an environmental hazard

Undercover Dress up as Patch

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

Secondary Mutations Reach Adaptation Level 10
10/10

Struck Dead Defeat Deathstrike

Parry Perfected Parry 500 times
500/500

Blindsided Stealth kill 10 enemies blinded by Jean
10/10

Saturn Slam Drop Saturn onto The Hand in Japan

The Monster In Me Survive the Helix Engine

Careful What You Wish For Save "Walter"

That's Cheating Free the stuffed animals from the claw machines

Cache Crusher Destroy 100 XP Caches
100/100

Poseidon's Kiss Activate the kissing toilet in the Tokyo bar bathroom

Crash Course Survive Plane Crash

Ground Control Push 3 enemies out of the plane
3/3

A Firm Handshake Meet The Hand