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Only Way Out Reach the "In Water" ending.

Vicious Circle Reach the "Maria" ending.

Radio Silence Complete the game without using the radio.

Faster Than Fog Finish the game in under 10 hours.

As Close as You Like Finish the game without killing enemies using ranged weapons.

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.

It's Bread Interact with bread.

All Seems in Order Discover the secret of Room 106.

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

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

Lumberjack Find the chainsaw.

Making Peace Reach the "Leave" ending.

That Part of Me Defeat Her.

Obsolete Destroy what you don't need.

Truly Special Reach Room 312.

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.

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.

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.

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

Otherworldly Enter the Otherworld for the first time.

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.

Calamity Conqueror Scroll Received upon defeating Ibushi
and Narwa. Depicts the two
serpents leading the Rampage.

Kamura Pinwheel Awarded for performing 1000
Wiredashes. Spins smoothly
in the wind.

Wreath of Honor A wreath received from the
villagers as thanks for taking
on their many requests.

Tempestuous Triumph Scroll A hanging scroll from Master
Hojo, depicting your victory
over Wind Serpent Ibushi.

Cohoots' Dresser Awarded to connoisseurs of
Cohoot outfits. Perfect for
storing your avian apparel.

Even here Fixed the garden. You'll spend a lot of time here...

Wealthy merchant Met Merchant. He's always ready to do business. Except around dinner time.

Shady Snake Met Snake. He seems dangerous. You get why everybody calls him Snake.

Sweetheart Bishop Met Bishop. His motto - Pray, preach, and look like you won the lottery.

Novice gravedigger Buried your first body.

First slice Got your first slice of meat. Smells a little strange, but looks like ordinary meat...

Boss 9 Defeated! OH MY GOSH THAT WAS SO MANY OF THEM!