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Only Way Out Reach the "In Water" ending.

That Part of Me Defeat Her.

Obsolete Destroy what you don't need.

Truly Special Reach Room 312.

It's Bread Interact with bread.

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

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.

Merciless Finish off 50 enemies with a stomp attack.
50/50

Alone Again Survive the chase in Brookhaven Hospital.

Nightmare Fuel Defeat the Flesh Lip.

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

Admitted Reach Brookhaven Hospital.

Leftovers Find the pizza in Pete's Bowl-O-Rama.

Uncanny Meet Maria.

Passed Make your way out of Blue Creek Apartments.

Otherworldly Enter the Otherworld for the first time.

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

Nice and Cozy Reach Wood Side Apartments.

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

Shattered Destroy 50 windows.
50/50

Enjoy Your Stay Reach Silent Hill.

No Turning Back Now Try to leave Silent Hill in the Observation Deck area.

Back in the Mud Complete Chapter 1.

Just a Scratch Complete 'Enter, Pursued by a Memory'.

I and Thou You completed the game in the most empathetic manner possible.

Do No Harm You completed the game without killing any Humans.

This Never Happened You performed an apto-regressive neurotomy on Dahl.

Gift to the World You found Gustav Leitner's Connectome for Dr. Igwe.

Self-Incriminating You found out what happened to Mikhaila's father and let her know.

Brain Trust You helped Igwe, January, and Mikhaila meet in your office.

A Friend in Need You recovered Mikhaila's booster shots and healed her.

Engineer You repaired at least (20) objects on and around Talos I.

The Gates of Hell You completed the Shipping and Receiving objective and no human lives were lost.

Adrift You rescued Dr. Igwe from a cargo container.

Open Says She You used Danielle's voice samples to access Deep Storage.

Prism Master You read the entire Starbender series and don't regret it.

Abandon Ship You fled Talos I aboard Alex's escape pod before completing your mission.

Best Served Cold You killed Luka and avenged Abby.

Cold Dead Hands You fully upgraded a weapon.

Dead Calm You killed an enemy while using Combat Focus.

Know Thine Enemy You acquired a Typhon power.

Reduce, Reuse, Recycle You used a single Recycler Charge to recycle at least 20 objects.

Intrinsic Value You recycled yourself.

Facsimile You met January for the first time.

Know Thy Self You acquired a Human ability.

Still Not a Janitor Hear the Custodian's Confession