🏆 Final treatment
Collect all trophies
🥇 The nightmare ends
Finish the story on Psychotic
🥇 Obsessive collector
Collect all the skittles
🥈 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
🥈 Secret spotter
Collect all the skittles in one level
🥈 Unstoppable
Reach multiplier x8
🥈 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
🥈 Dead eye
Get > 80% accuracy on a level
🥈 Moment of sanity
See all the 'Moment of sanity' sequences
🥉 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'
🥉 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
🥉 I shoot therefore I am
Beat a previous set score on a level
🥉 Barrel of laughs
Kill 20 enemies with barrels
🥉 Mostly armless
Blast off 100 limbs
🥉 Arachnophobia
Die from spider venom
🥉 Head trauma
Die from hitting head on a barrier
🥉 For my next trick
Get killed by a sawblade
🥉 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