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Lured Off Track Distract 20 Enemies with a bottle.

Future Hardware Obtain the Pistol-3000.

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

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

Missing The Point Entirely Silence 30 Widows.

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

Sweeping Signals Tune into all signals on the CRTV.

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

Blur Your Eyes Collect all of the strange postcards

Pinpoint Inaccuracy Land a head shot on any enemy with the Flare Gun from over 10 meters away

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

Resourceful Unlock all resource containers.

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.

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

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

Key To The Castle Unlock the path to CEG Tower.

Observation Collect 50% of all documents.

From Scratch Create 20 new items by combining others.

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

Isolating Experience Wait in a hiding spot for 60 seconds.

The Patient Tend to the Patient.

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

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

Alarmingly Effective Successfully distract an enemy by setting off a car alarm.

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

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

Repressed Memories Unlock the hidden memory in Nightmare Trials

Crate Collector Collect all Material Crates
68/68

Ultimate Predator Reach Player Level 36
36/36

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

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

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

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

Blindsided Stealth kill 10 enemies blinded by Jean
10/10

Secondary Mutations Reach Adaptation Level 10
10/10

Struck Dead Defeat Deathstrike

Saturn Slam Drop Saturn onto The Hand in Japan

The Monster In Me Survive the Helix Engine

Careful What You Wish For Save "Walter"