| Trophy | How to unlock
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- Art Appreciation (Bronze)
| - Completed "The Art Collector" side quest.
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| - Collected 3 pages of the rhyme book.
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| - Completed the "Bird Cage" side quest.
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- Calling All Cars (Bronze)
| - Completed the "All Points Bulletin" side quest.
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- Capital Punishment (Gold)
| - Completed the game on the hard game difficulty setting, any ending.
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- Cutting Room Floor (Bronze)
| - Completed the "Cinéma Vérité" side quest.
|
| - Completed the "Ashes to Ashes" side quest.
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| - Achieved "Forgiveness" ending.
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| - Achieved "Truth & Justice" ending.
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| - Achieved "Full Circle" ending.
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| - Achieved "Execution" ending.
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| - Achieved "Surprise!" ending.
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- Fight or Flight? (Silver)
| - Escaped from 20 monsters.
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| - Met DJ Ricks in the Radio Station.
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- Going off the Rails (Bronze)
| - Escaped from Devil's Pit.
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| - Completed the game on any difficulty without killing any monsters.
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| - Killed 25 monsters with the Pistol or Shotgun.
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| |
| - Killed or incapacitated 10 Prisoner Minions.
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- Long Walk, Short Pier (Bronze)
| - Completed the "Ribbons" side quest.
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- Neighborhood Watch (Bronze)
| - Completed the "Stolen Goods" side quest.
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| - Reached Overlook Penitentiary.
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- Now You're Cooking... (Bronze)
| - Survived the Diner Otherworld.
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- Out of the Frying Pan (Bronze)
| - Rode the Sky Tram to Devil's Pit.
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| - Killed or incapacitated 10 Weeping Bats.
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| - Completed the game on the hard puzzle difficulty setting, any ending.
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| |
| - Killed or incapacitated 10 Dolls.
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- Silence is Golden (Silver)
| - Killed or incapacitated 10 Screamers.
|
| - Completed "The Bank" side quest.
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- Silent Hill Historic Society (Silver)
| - Completed Murphy's Journal with all Mysteries.
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- Silent Hill Tour Guide (Gold)
| - Completed all side quests.
|
- Spot the Difference (Bronze)
| - Completed the "Mirror, Mirror" side quest.
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- Stay of Execution (Silver)
| - Incapacitated 20 monsters without killing them.
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| - Completed the "Dead Man's Hand" side quest.
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- The Bigger They Are... (Silver)
| - Killed or incapacitated 10 Prisoner Juggernauts.
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| - Completed "The Gramophone" side quest.
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- Useless Trinkets (Bronze)
| - Completed the "Digging up the Past" side quest.
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- What's Your Sign? (Bronze)
| - Completed the "Shadow Play" side quest.
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- Whatever Doesn't Kill You... (Bronze)
| - Escaped the Radio Station Otherworld.
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- Will Work For Food (Bronze)
| - Completed the "Homeless" side quest.
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