| Achievement | How to unlock
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- 1st Place at the Science Fair
| - Create all items that contain Chem Fluid and Strong Chem Fluid.
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| - Obtain something by closely examining an item.
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| - Block an enemy attack by guarding.
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| - Watch all the videotapes in a single playthrough.
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| - Close an open door by yourself.
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| - Complete the "Mia" videotape without being spotted by Marguerite.
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- Duck If You Love Life (secret)
| - Avoid Jack's scissor attack by crouching.
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- End of the Night (secret)
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| - Shoot and knock back Marguerite while she's leaping at you.
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| - Fight off Marguerite while she wanders the old house to make her run away.
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- He's Here, There, Everywhere!
| - Destroy a Mr. Everywhere statuette.
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| - Increase your item slots.
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- Just A Memory Now (secret)
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| - Complete the game within 4 hours.
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| - Take down two or more enemies with one shot.
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| - Obtain all of the Antique Coins in Madhouse difficulty.
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| - Use a lock pick to open something.
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| - Destroy all Mr. Everywhere statuettes.
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| - Put an unrelated object on a shadow plinth.
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| - Complete the "Happy Birthday" videotape within 5 minutes.
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| - Obtain all of the Antique Coins in Easy or Normal difficulty.
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| - Complete the game on Easy.
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| - Complete the game without opening the Item Box more than 3 times.
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- Slash Slash, Slashity Slash!
| - Clear insects off a door using a knife.
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- That's a Spicy Meat-a-ball
| - Kill an enemy by attaching a Remote Bomb to them and detonating it.
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- The Devil Is in the Details
| - Read all of the files in a single playthrough.
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- The Grave Will Out the Truth (secret)
| - Uncover the secret in the old house.
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- The Nightmare's Finally Over
| - Complete the game on Normal.
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| - Finish off an enemy with the knife.
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| - Complete the game using only 3 First Aid Meds or less.
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- Welcome to the Family, Son (secret)
| - Escape from the guest house.
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| - Complete the game on Madhouse
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- You Ain't Gettin' Away (secret)
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- You Better Start Running (secret)
| - Escape from the Baker family home.
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