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Doing The Right Thing Collect all other trophies in the game.

Reject The Help After meeting Richard, do not use a phone to save the game.

Missing The Point Entirely Silence 30 Widows.

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

Static Distractions Distract 10 Enemies with a radio in the world.

Future Hardware Obtain the Pistol-3000.

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

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

Here To Stay Reach the "Forever" ending.

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

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

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

For St. Amelia Reach the "Justice" ending.

Fleeting Visit Finish the game in under 4 hours.

Here's Simon! Obtain the Axe.

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

Cold Calling Call all the phone numbers found in St. Amelia.

Thorough Inspection Collect all of the documents.

Just Making Things Worse Reach the "Abandoned" ending.

Eraser Defeat the Weight.

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

Resourceful Unlock all resource containers.

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.

Blur Your Eyes Collect all of the strange postcards

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

Key To The Castle Unlock the path to CEG Tower.

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

From Scratch Create 20 new items by combining others.

Isolating Experience Wait in a hiding spot for 60 seconds.

Observation Collect 50% of all documents.

The Patient Tend to the Patient.

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

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

Lured Off Track Distract 20 Enemies with a bottle.

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

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

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

Ultimate Predator Reach Player Level 36
36/36

Repressed Memories Unlock the hidden memory in Nightmare Trials

One More Story Complete the Main Story

A Sinister End Defeat Essex

Small Mercies Set Walter free

Crate Collector Collect all Material Crates
68/68

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