| Achievement | How to unlock | Points
|
|---|
| 'Tis But A Scratch | Survive an expedition with 10% HP or less. | 20
|
| A Dream Within A Dream | Collect all eldritch journals. | 30
|
| All The Creatures, Great and Small | Save Jackie. | 10
|
| And It's All Your Fault | A companion died in camp. | 10
|
| Believe Us, He's Better Off That Way | Save Scot. | 10
|
| Belly of the Beast | Complete Chapter 3. | 30
|
| Between A Lock And A Hard Place | Enter 200 combinations into a single lock. | 30
|
| Beware The Worm, Carter! | Complete the final ritual. | 10
|
| Canine Curiosity | Discover a different side of Max. | 20
|
| Chords Struck On The Cosmic Scale | Unlock the second madness level. | 20
|
| Damn Right, It's Prepper Than Yours | Unlock all stations to their maximum level. | 30
|
| Does It Spark Joy? | Investigate Paul's material obsessions. | 20
|
| Everybody Lives! | All your companions survived. | 30
|
| Fear And Loathing In Alaska | Go on a spiritual journey with Roger. | 20
|
| Gotta Catch Them All | Collect all monster journals. | 30
|
| Hard Hat - Soft Heart | Save David. | 10
|
| Haunter Of The Dark | Finish a mine expedition without using your lamp. | 50
|
| Heart (Symbol) | Complete the ritual in the PRISM Offices. | 10
|
| Home Improvement | Use a tool to kill a monster. | 10
|
| How The Tide Turns | Confront the Hunter. | 50
|
| I Ain't Got Time To Bleed | Save Frank. | 10
|
| I Have No Eyes And I Must Burn | Use your lamp to kill a maggot. | 10
|
| In Case of Emergency, Break Reality | Use a Thurul Flare Gun. | 10
|
| In His Restless Dreams, I See That Lab | Get a glimpse at Scot's fractured mind. | 20
|
| Inhuman Resources | Save Clair. | 10
|
| It's Dangerous To Go Alone | Finish the game with only one companion left alive. | 20
|
| It's Just A Color... Out Of Space | Unlock the first madness level. | 10
|
| It's a trap! | Use a trap to kill a monster. | 10
|
| Let Me Tell You About Our Lord And Savior | Save Roger. | 10
|
| Morality Is A Lie | Have a field day with Linda. | 20
|
| My Crafting Brings All Preppers To The Yard | Unlock any station to its maximum level. | 10
|
| Rocks Fall, Everybody Dies | Kill the first Tentaculus. | 10
|
| Sane To The Hideous End | Finish the game with no unlocked trauma perks (except the first one) | 10
|
| That Is Not Dead Which Can Eternal Lie | Finish the game in ironman mode. | 50
|
| The Abyss Stares Back | Die to Madness. | 10
|
| The Beast's Dream | Unlock the fourth madness level. | 40
|
| The Only Monster Left Alive | Finish an expedition with no enemies left alive. | 10
|
| The Pitfalls Of Compassion | Give the key to the prisoner. | 10
|
| The Stars Weren't Right | Confront the Cult Leader. | 50
|
| The Terrifying Vistas of Reality | Unlock the third madness level. | 30
|
| These Boots Are Made For Activism | Support Jackie's effort to explore the local fauna. | 20
|
| Truck Off! | Complete Chapter 2. | 20
|
| Trust Me, Pal | Save Paul. | 10
|
| Uncanny Resemblance | Watch David create some art. | 20
|
| Unclaimed | Finish the game without dying. | 50
|
| Voyage Far, Don't Fear The Unknown | Finish your first expedition. | 10
|
| We Do What We Must Because We Can | Save Linda. | 10
|
| Welcome to Alaska | Complete Chapter 1. | 10
|
| What A Terrible Day To Have Eyes | Visit Clair's Happy Place. | 20
|
| Woof, Woof Woof! | Save Max. | 10
|
| You Cannot Pet The Worm | Escape the worm. | 10
|