| Achievement | How to unlock
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| Anvil Horror ( 15 points ) | Get three S-ranks in Survival Arena mode.
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| Army of Dead Evil ( 5 points ) | Kill 6 enemies within one second.
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| Audiophile ( 5 points ) | Listen to all of Dr. West's gramophone records.
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| Bad Taste ( 5 points ) | Impale an enemy on a spike.
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| Barrels of Blood ( 5 points ) | Get 2000 or more BLOOD Points in one chain of attacks.
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| Be Garbage of Cesspool ( 20 points ) | Complete Phase 4: The Meat Factory.
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| Blood Lust ( 25 points ) | Unlock 25 skills.
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| Blood and Lightning ( 5 points ) | Splat 100 enemies on a wall with a weapon.
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| Boreworm Massacre ( 10 points ) | Stomp on 1000 Boreworms.
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| Brain Dead ( 5 points ) | Tackle an enemy and pummel it 20 times.
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| Bride of the Corrupted ( 100 points ) | Complete the game on any difficulty.
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| Call of the Thule ( 10 points ) | Unlock 5% of Dr. West's journal.
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| Creepy Show ( 10 points ) | Re-assemble 8 of Jen's photos.
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| Dead on the Rise ( 5 points ) | Accomplish 5 Secret Missions in a single Survival Arena attempt.
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| Death Came Ripping ( 5 points ) | Kill an enemy with a Splatter Slash.
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| Downpour of Blood ( 5 points ) | Get 100 kills with Splatter Smash.
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| Dreams of the Dead ( 120 points ) | Complete the game on "Brutal" Difficulty.
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| Experiment 765 ( 30 points ) | Complete Phase 6: Beast with a Human Heart.
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| Flesh Re-animation! ( 5 points ) | Regenerate with Splatter Siphon.
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| Happy Ending? ( 20 points ) | Re-assemble all of Jen's photos.
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| Head on Arrival ( 10 points ) | Get 50 kills with enemy heads.
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| Headlong into Monsters ( 5 points ) | Kill 6 enemies in one ram attack.
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| Heavy Frikkin' Metal! ( 5 points ) | Get 50 kills with non-fleshy weapons.
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| Hunger Pangs ( 5 points ) | Purchase a skill.
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| I Walk with Death ( 110 points ) | Complete the game on "Savage" difficulty ( or harder).
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| Jason Schmason ( 50 points ) | Get six S-ranks in Survival Arena mode.
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| Jen Smells of Rot...of the Grave ( 5 points ) | Re-assemble one of Jen's sexy photos.
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| Killer of Killers ( 5 points ) | Get an S-rank in Survival Arena mode.
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| Lovecraft Baby ( 20 points ) | Unlock 50% of Dr. West's journal.
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| Lust for After Life ( 50 points ) | Unlock all skills.
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| Morbid Dismemberment ( 5 points ) | Kill an enemy with your own dismembered arm.
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| Must Kill ( 5 points ) | Kill an enemy with Splatter Smash.
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| Nightmare in Arkham ( 20 points ) | Unlock 25% of Dr. West's journal.
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| None More Dead ( 10 points ) | Get 150 kills with enemy arms.
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| One Who Slays ( 5 points ) | Get 300 kills in Berserker Mode.
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| POW! ( 5 points ) | Launch an enemy straight up with "No Head Room".
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| Pyre for the Damned ( 50 points ) | Complete Phase 10: The Wicker Bride.
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| Razor of Hell ( 5 points ) | Get 100 kills with Splatter Slash.
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| See you at the Party ( 5 points ) | Kill an enemy with an enemy's arm.
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| Shattered Narcissus ( 40 points ) | Complete Phase 8: Reflections in Blood.
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| South of Hell ( 5 points ) | Perform 75 Splatterkills.
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| The Berserker ( 10 points ) | Complete Phase 2: The Doll that Bled.
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| The Blackest of Sundays ( 10 points ) | Splat 200 enemies on a wall with a weapon.
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| The Business of Killing ( 5 points ) | Perform a Splatterkill.
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| The House that West Built ( 100 points ) | Unlock all pages of Dr. West's journal.
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| Tongue in Cheek ( 5 points ) | Kill an enemy with an enemy's head.
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| Too much Horror business ( 10 points ) | Accomplish all 10 Secret Missions in a single Survival Arena attempt.
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| Triumph of Iron ( 15 points ) | Get 500 kills with non-fleshy weapons.
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| Vigorous Vengeance ( 10 points ) | Perform 150 Splatterkills.
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| You Got Red on You ( 5 points ) | Splat an enemy on a wall with a weapon.
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