| Achievement | How to unlock
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| CLAUSTROPHOBE (150 points) | Finished the game without hiding under a bed or in a locker.
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| EDUCATED (50 points) | Collected 15 documents and completed 15 recordings.
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| ELEVATOR OPERATOR (25 points) | Dropped the corpse in the elevator shaft.
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| EMANCIPATED (50 points) | Collected the key in the Female Ward.
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| ENERGISER (200 points) | Finished the game in Insane Mode without reloading camera batteries.
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| FLUSHED (50 points) | Drained the Sewers.
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| ILLUMINATED (50 points) | Restored power to the Administrative Block.
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| LUNATIC (150 points) | Finished the game in Insane mode.
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| PULITZER (125 points) | Collected all documents and completed all recordings.
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| PUNISHED (100 points) | Finished the game.
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| SOAKED (50 points) | Activated the sprinklers in the Male Ward.
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