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Vicious Circle Reach the "Maria" ending.

Making Peace Reach the "Leave" ending.

Radio Silence Complete the game without using the radio.

Pieces Unarranged Collect all the Strange Photos in a single playthrough.

Archivist Collect all memos in a single playthrough.

Echoes Witness all glimpses of the past in a single playthrough.

All Seems in Order Discover the secret of Room 106.

Lumberjack Find the chainsaw.

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.

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

Glimmer of Hope Reach the Lakeview Hotel.

Scourge of Toluca Lake Spend 10 minutes out on Toluca Lake.

A Human Being Kill Eddie.

Inner Sanctum Find His room.

Unforgivable Defeat the Abstract Daddy.

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

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

Into the Abyss Reach the end of the long staircase.

Alone Again Survive the chase in Brookhaven Hospital.

Nightmare Fuel Defeat the Flesh Lip.

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.

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

Otherworldly Enter the Otherworld for the first time.

Let's NOT Party! Shoot all the balloons in Wood Side Apartments.

Nice and Cozy Reach Wood Side Apartments.

Shattered Destroy 50 windows.
50/50

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

Enjoy Your Stay Reach Silent Hill.

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

Blood Gem Master Acquire an extremely precious blood gem.

Childhood's Beginning You became an infant Great One,
lifting humanity into its next childhood.

Amygdala Defeat Great One: Amygdala.

Chalice of Ailing Loran Acquire the Chalice of Ailing Loran that seals
the tragic land lost to the sands.

Hunter's Craft Acquire all special hunter tools.

Darkbeast Paarl Defeat Darkbeast Paarl.

Mergo's Wet Nurse Defeat Great One: Mergo's Wet Nurse.

Chalice of Isz Acquire the Great Chalice of Isz that seals
the home of the cosmic kin.

Ebrietas, Daughter of the Cosmos Defeat Great One: Ebrietas, Daughter of the Cosmos.

Celestial Emissary Defeat Great One: Celestial Emissary.

Weapon Master Acquire a weapon of the highest level.

The Choir Gain entry to the realm of the Choir,
the high stratum of the Healing Church.

Martyr Logarius Defeat Martyr Logarius.

Cainhurst Gain entry to Cainhurst, the lost and ruined castle.