| Achievement | How to unlock | Points
|
|---|
| Avid Reader | Find all comic books. | 50
|
| Capitalist Casualty | Get a high score of 5000 in RunBums. | 100
|
| Chatterbox | Talk to all NPCs. | 50
|
| Couch Potato | You enjoy TV. | 25
|
| Detective | Collect all evidence. | 50
|
| Highscore Killer | Get a high score of 15 in Porksy's Revenge. | 100
|
| It's Not Over | Finish the epilogue. | 50
|
| Janitor | Explore the bathrooms. | 50
|
| Late Night Call | Talk to the call girl. | 50
|
| Laundry Started | Start the laundry. | 50
|
| Locked and Loaded | Found the gun and ammo. | 50
|
| Meet the Womb Ripper | Face to face with a nightmare. | 100
|
| Spirit Summoner | Find Peepaw's ouija board. | 100
|
| Survivor | Survived the Womb Ripper. | 150
|
| Warnings Unheeded | Finish the intro. | 25
|