| Achievement | How to unlock
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| A.E.A. | Get strangled by the sniper more than once in Dream II.
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| Conspiracy Theorist | Collect all notes in a single playthrough.
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| Disobedient | Pull the Lever in the wrong direction 5 times.
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| Down the Rabbit Hole | Play through the whole game without consuming any drugs.
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| Energy Saver | Play thourgh the whole game without using any batteries.
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| För Kung & Riksdag! | Collect all the meatball cans.
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| Fire Hazard | Turn off the water in under 1 minute in Dream I.
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| God Mode | Complete the game without taking any damage.
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| Hoarder | Pick up 100 items.
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| Intervention | Consume 100 pills.
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| Most Cowardly, Most Frantic | Remain in constant motion for 5 minutes.
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| R. Charles | Complete game without using the Lighter or the Flashlight.
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| Scaredy Cat | Make the Lighter blow out by moving mouse quickly.
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| Sorry I’m late, Boss | Get screamed at by the Ghast 3 times.
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| Speed Run | Complete the game in under one hour.
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| Thick Skin | Get hit by the Predator 5 times without dying.
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| Underdog | Get killed by the Predator more than 3 times.
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