| Achievement | How to unlock
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- Art Appreciation (5 points)
| - Completed "The Art Collector" side quest.
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| - Completed the "Bird Cage" side quest.
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- Calling All Cars (5 points)
| - Completed the "All Points Bulletin" side quest.
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- Capital Punishment (100 points)
| - Completed the game on the hard game difficulty setting, any ending.
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- Cutting Room Floor (5 points)
| - Completed the "Cinéma Vérité" side quest.
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| - Completed the "Ashes to Ashes" side quest.
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- Fight or Flight? (20 points)
| - Escaped from 20 monsters.
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- Good Behavior (50 points)
| - 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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- Hypochondriac (10 points)
| |
| - Killed or incapacitated 10 Prisoner Minions.
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- Long Walk, Short Pier (5 points)
| - Completed the "Ribbons" side quest.
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- Neighborhood Watch (5 points)
| - Completed the "Stolen Goods" side quest.
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| - Killed or incapacitated 10 Weeping Bats.
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- Puzzle Master (100 points)
| - 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 (20 points)
| - Killed or incapacitated 10 Screamers.
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| - Completed "The Bank" side quest.
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- Silent Hill Historic Society (50 points)
| - Completed Murphy's Journal with all Mysteries.
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- Silent Hill Tour Guide (100 points)
| - Completed all side quests.
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- Spot the Difference (5 points)
| - Completed the "Mirror, Mirror" side quest.
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- Stay of Execution (25 points)
| - Incapacitated 20 monsters without killing them.
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- Telltale Heart (5 points)
| - Completed the "Dead Man's Hand" side quest.
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- The Bigger They Are... (20 points)
| - Killed or incapacitated 10 Prisoner Juggernauts.
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- Turn Back Time (5 points)
| - Completed "The Gramophone" side quest.
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- Useless Trinkets (5 points)
| - Completed the "Digging up the Past" side quest.
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- What's Your Sign? (5 points)
| - Completed the "Shadow Play" side quest.
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- Will Work For Food (5 points)
| - Completed the "Homeless" side quest.
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