Rescue Alessa from fire in less than 80 seconds.

Enter in the Otherworld for the first time.

Open the Medical Icebox in Alchemilla Hospital.

Solve the plastic anatomy doll puzzle.

Kill the first Straight-Jacket without taking damage and without equipping an unlockable weapon in Alchemilla Hospital.

Take the Future Piece in Alchemilla Hospital.

Find a misterious enemy.

Take the Target Pistol.

Do not trust her, Travis. She does not know what she is doing...

Solve the Iron Lung Puzzle in Cedar Groove Sanitarium.

Take the Interview Archives key.

Solve the five miniature dolls puzzle in Cedar Groove Sanitarium.

Take the Shotgun in Cedar Groove Sanitarium.

Kill Momma without taking damage and without equipping an unlockable weapon in Cedar Grove Sanitarium.

Take the Past Piece in Sanitarium.

Let's get the hell out of this crazy town... We could be so good together...

Take the Service Pistol.

Unlock the door with two square holes without accessing the Balcony Corridor in Artaud Theater. (Starting on the first Ariel)

Kill 50 enemies using the Tesla Rifle without returning to the main menu.

Solve the theater spotlight puzzle.

Kill Caliban without taking damage and without equipping an unlockable weapon in Artaud Theater.

Take the Falsehood Piece in Artaud Theatre.

Take the Hunting Rifle.

Take the Assault Rifle.

Take the Redeemer.

Look through a specific peephole in Riverside Motel.

You have a habit of popping up where you're not wanted, Mr. Grady. Isn't it time you left town?

Solve the Washing Machine Puzzle in Riverside Motel.

Take the Wedding Ring.

Solve the Rotary Calendar Puzzle and unlock the key.

Kill Sad Daddy without taking damage and without equipping an unlockable weapon in Riverside Motel.

Take the Truth Piece in Riverside Motel.

Take the Present Piece in Alchemilla Hospital and solve the puzzle.

What have you done? You broke the spell! Now she is free.

Kill Alessa's Dream without taking damage and without equipping an unlockable weapon in Otherworld.

Get the Good Ending.

Get the Bad Ending.

Take the Room 502 key.

Get the UFO Ending.

Kill the Butcher without taking damage and without equipping an unlockable weapon in Riverside Motel.

Kill 25 enemies. (No NG+)

Kill 50 enemies. (No NG+)

Kill 100 enemies. (No NG+)

Kill 175 enemies. (No NG+)

Kill 250 enemies. (No NG+)

Take 50 items.

Take 100 items.

Take 175 items.

Take 300 items.

Take 10 notes.

Take 25 notes.

Take all 50 notes.

Do the Konami code anytime during a subsequent playthrough.

Finish the game using the flashlight for less than 3 hours.

Finish the game rescuing Alessa from fire in less than 80 seconds.

Finish the game travelling a distance greater than 22.5 km.

Finish the game collecting more than 300 items.

Finish the game in less than 2 hours.

Finish the game killing at least 75% of enemies with firearms.

Finish the game killing at least 75% of enemies with melee weapons.

Finish the game killing at least 75% of enemies with fists.

Finish the game looking at map less than 25 times.

Finish the game without saving.

Kill 25 enemies using the Moon Gauntlets without returning to the main menu.

Kill 25 enemies using the Fire Axe without returning to the main menu.

Kill 25 enemies using the Great Cleaver without returning to the main menu.