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Future Hardware Obtain the Pistol-3000.

Sci-fi-lent Hill Reached the "Sci-fi" ending.

Reliving A Nightmare Complete New Game Plus (any difficulty).

Let's Talk This Out Reached the "Dog" ending.

Missing The Point Entirely Silence 30 Widows.

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

Here's Simon! Obtain the Axe.

Just Making Things Worse Reach the "Abandoned" ending.

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.

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

From Scratch Create 20 new items by combining others.

Everybody Needs a Hobby Customize your avatar.

Key To The Castle Unlock the path to CEG Tower.

Observation Collect 50% of all documents.

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

Isolating Experience Wait in a hiding spot for 60 seconds.

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

Repressed Memories Unlock the hidden memory in Nightmare Trials

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

Crate Collector Collect all Material Crates
68/68

Full Barrel Collect all Whisky Bottles
20/20

Blindsided Stealth kill 10 enemies blinded by Jean
10/10

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

Saturn Slam Drop Saturn onto The Hand in Japan

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

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

Secondary Mutations Reach Adaptation Level 10
10/10

Ultimate Predator Reach Player Level 36
36/36

Recycled "Defeat" a Reaver using molten metal

The Patient Tend to the Patient.

Greased Read Callisto's journal in her Vancouver garage

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

A Previous Life Learn the truth about your past

Had To Put Him Down Defeat Sabretooth

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

Shish Kebab Impale an enemy on an environmental hazard

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

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

Undercover Dress up as Patch

Struck Dead Defeat Deathstrike

Parry Perfected Parry 500 times
500/500

Spiral Cut Kill 75 enemies with Tornado Spin
75/75

The Monster In Me Survive the Helix Engine

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

Cache Crusher Destroy 100 XP Caches
100/100