| Trophy | How to unlock
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| - Complete the game using one piece of rotting meat and no flares.
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| - Drink three cups of espresso, no more than once a day.
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| - Witness all five Blue Dreams.
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| - Eat five fruit drops, no more than once a day.
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- Coffee Aficionado (Bronze)
| - Drink three cups of coffee, no more than once a day.
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| - Attempt to talk to The Man Who Wears A Box five times.
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| - Talk to Sleepy Cat five times.
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| |
| - Read all the diary pages.
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| - Complete the game in Expert Mode.
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| - Eat You's favourite food.
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| - Escape from The Daddy without using your flashlight.
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- Friend To The Fauna (Silver)
| - Feed all five tins of cat food to your cat.
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- Friend To The Fellow Man (Silver)
| - Give all five Sleepy Cat comics to The Director.
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- Friend To The Flora (Bronze)
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- Friend To The Sick (Silver)
| - Give Hank all five health tonics.
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| - Combine ten types of food.
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| |
| - Eat a Steamed Ham after combining it with another food.
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| - Witness all five Green Dreams.
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| - Complete the game without using a mirror to travel.
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| |
| - Listen to your Personal Stereo.
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| - Discover the Green Ending.
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| - Give away a Delicious Ham.
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| - Discover the Blue Ending.
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| - Complete the game without firing a single shot.
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| - Shoot the Writhing Thing.
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| - Defeat Mother without shooting or flares.
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| - Discover the Yellow Ending.
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| - Talk to your fully-adopted cat five times.
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| - See both versions of the dancing dream.
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| - Drink a Chilled Can Of Soda.
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| - Drink a Chilled Mexican Cola.
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| - Collect all Lone Survivor: Director's Cut trophies.
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| - Discover the White Ending.
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