Defeat the Split Worm on Normal difficulty or higher (New Game only)

Defeat the Missionary on Normal difficulty or higher (New Game only)

Defeat Leonard on Normal difficulty or higher (New Game only)

Defeat the Memory of Alessa on Normal difficulty or higher (New Game only)

Defeat the God on Normal difficulty or higher (New Game only)

See your nightmare through to the end

Find your way out of the Central Square Shopping Center

Successfully navigate the Subway

Climb your way out of the Sewers

Find a way out of the Hilltop Center

Survive your stay in Brookhaven Hospital

Get your fill of thrills at Lakeside Amusement Park

Navigate the maze-like Nowhere realm and face the music

Obtain the Silencer

Obtain the Steel Pipe

Obtain the Shotgun

Obtain the Maul

Obtain the Katana

Obtain the Stun Gun

Obtain the Submachine Gun

Obtain the Beam Saber

Obtain the Flamethrower

Obtain the Unlimited SMG

Obtain the Gold and Silver Pipes

Encounter an unseen assailant...

Attend your birthday celebration. They even got you a card!

Meet Danny

Collect over 125 items

Collect every map in the game

Complete the game on Normal difficulty (New Game only)

Complete the game on Hard difficulty (New Game only)

Complete the game on Normal riddle difficulty

Complete the game on Hard riddle difficulty

Unlock Beginner Mode

Get the "Normal" ending

Get the "Possessed" ending

Get the "Revenge" ending

Cut through 3 Closers with the Katana on Normal difficulty or higher (one session, no reloads)

Cook 5 Double Heads with the Flamethrower on Normal difficulty or higher (one session, no reloads)

Poke down 5 Numb Bodies with the Knife on Normal difficulty or higher (one session, no reloads)

Pop 3 Insane Cancers with the Maul on Normal difficulty or higher (one session, no reloads)

Strike down 5 Slurpers with the Beam Saber on Normal difficulty or higher (one session, no reloads)

Shoot down 3 Pendulums with the Shotgun on Normal difficulty or higher (one session, no reloads)

Condemn 5 Nurses with the Steel Pipe on Normal difficulty or higher (one session, no reloads)

Electrocute 3 Scrapers with the Stun Gun on Normal difficulty or higher (one session, no reloads)

Kill 15 enemies with the Maul while wearing the God of Thunder costume (one session)

Equip the Golden Rooster costume, Gold Pipe, and Perfume

Transform into Princess Heart

Kill 5 enemies in 25 seconds (timer starts after first enemy dies, progress resets 25 secs later)

Defeat the Split Worm without taking damage on Normal difficulty or higher (New Game only)

Defeat the Missionary without taking damage on Normal difficulty or higher (New Game only)

Defeat Leonard without taking damage on Normal difficulty or higher (New Game only)

Defeat the Memory of Alessa without taking damage on Normal difficulty or higher (New Game only)

Defeat the God without taking damage on Normal difficulty or higher (New Game only)

Defeat the Split Worm in under 2 minutes on Normal difficulty or higher (New Game only)

Defeat the Missionary in under 2 minutes on Normal difficulty or higher (New Game only)

Defeat Leonard in under 3 minutes on Normal difficulty or higher (New Game only)

Defeat the Memory of Alessa in under 3 minutes on Normal difficulty or higher (New Game only)

Defeat the God in 8 minutes or less on Normal difficulty or higher (New Game only)

Take a moment to think about yourself - the real you - but don't dwell on it...

Defeat the God using the Sexy Beam on Normal difficulty or higher

Complete the game, killing more than 150 enemies (including bosses) on Normal difficulty or higher (New Game only)

Complete the game in 3 hours or less on Normal difficulty or higher (New Game only)

Complete the game, killing no more than 10 enemies (including bosses) on Normal difficulty or higher (New Game only)

Complete the game, taking less than 500 damage on Normal difficulty or higher (New Game only)

Complete the game in 1 hour and 30 minutes or less in one session, without saving or checking the map, on Normal difficulty or higher (New Game only)