| Achievement | How to unlock
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- All Alone In A Dying World
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| - Craft something from a syringe.
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| - Finish Total Chaos in Survivalist Mode.
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| - Kill at least three monsters with only one Nail Bomb.
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| - Escape the first Brute in Arrival without taking damage.
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- Don't Take Your Eyes Off Her
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| - Clear your Madness level at a save zone.
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| - Complete the Journal with everything there is to find in Fort Oasis.
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| - Complete Forgotten without killing the Protector.
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| - Finish Total Chaos by getting the Good Ending.
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- I Will Make Good Use Of It
| - Open Miller's storage in Decay.
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| - Complete Chaos without killing the Forgotten Ones.
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- I'm Not Going To Die, Not Yet
| - Stop your bleeding with a bandage.
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| - Upgrade a melee weapon with tape and barbed wire.
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| - Complete Regression without killing the Tree Lurker.
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| - Die by being burned by a Slammer.
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| - Impale three harpoons into a single monster.
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- Plenty Of Fish In The Sea
| - Leave the island with your boat.
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- Prepared For All Situations
| - Exceed your inventory weight limit.
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| - Kill a monster by tossing a weapon at it.
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- Things Best Left Undisturbed
| - Find the cassette tape under the graveyard in Decay.
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| - Complete Crossroads while being insane.
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| - Repel a monster attack by parrying.
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| - Complete Storm without killing the Forgotten Ones or burning the Connections.
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- Winner Winner Monster Dinner!
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- You Can Kill What You Can't See
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- You Loved This Place Once
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