Final treatment
Collect all trophies
Haunted Lodge survivor
Finish 'Haunted Lodge'
Nightmare Descent survivor
Finish 'Nightmare Descent'
Hotel Hell survivor
Finish 'Hotel Hell'
Psycho Cellblock survivor
Finish 'Psycho Cellblock'
Ghost Town survivor
Finish 'Ghost Town'
Mines of Death survivor
Finish 'Mines of Death'
Final Inferno survivor
Finish 'Final Inferno'
Haunted Lodge killer
Finish 'Haunted Lodge' on Insane
Nightmare Descent killer
Finish 'Nightmare Descent' on Insane
Hotel Hell killer
Finish 'Hotel Hell' on Insane
Psycho Cellblock killer
Finish 'Psycho Cellblock' on Insane
Ghost Town killer
Finish 'Ghost Town' on Insane
Mines of Death killer
Finish 'Mines of Death' on Insane
Final Inferno killer
Finish 'Final Inferno' on Insane
Diagnosis complete
Finish the story on any difficulty
The nightmare ends
Finish the story on Psychotic
Secret spotter
Collect all the skittles in one level
Obsessive collector
Collect all the skittles
I bestow this fire-power
Pick up a new weapon
Master arsenal
Have picked up all weapons
Four barrel spray of death
Dual wield Shotguns
A storm of bullets
Dual wield Machine Pistols
Do you feel lucky?
Dual wield Revolvers
On a roll
Reach multiplier x4
Unstoppable
Reach multiplier x8
I shoot therefore I am
Beat a previous set score on a level
Barrel of laughs
Kill 20 enemies with barrels
Duck hunter
Shoot all the moving ducks in 'Haunted Lodge'
Old school
Complete a level using only pistols
Won armed
Complete a level using only one hand
Blow your mind
Get 100 headshots
Mostly armless
Blast off 100 limbs
Dead eye
Get > 80% accuracy on a level
Arachnophobia
Die from spider venom
Head trauma
Die from hitting head on a barrier
For my next trick
Get killed by a sawblade
Moment of sanity
See all the 'Moment of sanity' sequences
Nowhere to hide
Hit three targets with one shot from the Revolver
Spitting lead
Hit three or more targets with a blast from the shotgun
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