| Achievement | How to unlock
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| Ain't Shufflin' | Finish three games of Mahjong without using Shuffle.
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| Breaking Dawn | Gather three Clues in your Journal.
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| Broken Memories | Find three Phantom Objects.
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| Busting Out | Make your way out.
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| Case Closed | Gather all nine Clues in your Journal.
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| Crazy People | Gather full information about all the characters.
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| Dark Floors | Find three fragments of the Asylum Model.
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| Determined | Solve three Puzzles without using Skip.
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| Don't Say a Word | Learn about Kreuz's secret.
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| Fingersmith | Find a way out.
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| First Session | Find three Hidden Clue Symbols.
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| Freshman | Solve your first Detective Mode scene.
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| Golden Five | Gather five Clues in your Journal.
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| Hide and Seek | Disarm all booby traps.
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| Last Resort | Find a way to call for help.
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| Madhouse | Complete the Asylum Model.
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| Mahjong Addict | Finish all games of Mahjong.
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| Mahjong Rookie | Finish a game of Mahjong.
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| Mahjong Veteran | Finish half of all the games of Mahjong.
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| Maniac | Finish the game without using a Hint.
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| Master Detective | Solve all Detective Mode scenes.
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| Master Plumber | Fix the sprinklers.
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| Not Mental | Regain a clear mind.
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| Now You See Me | Watch all the cutscenes in the game without using Skip.
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| Object Finder | Finish three Hidden Object Puzzles without using a Hint.
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| Object Hunter | Finish five Hidden Object Puzzles in under two minutes each.
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| Object Master | Finish all Hidden Object Puzzles without using a Hint.
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| Object Seeker | Finish one Hidden Object Puzzle without using a Hint.
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| Secret Window | Finish Zed's masterpiece.
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| Session 9 | Find all nine Hidden Clue Symbols.
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| Skilled | Solve a Puzzle without using Skip.
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| Sucker Punch | Fight your fears.
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| Swift | Solve five Puzzles in under two minutes each.
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| The Forgotten | Be a hero and save lives.
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| The Number 15 | Find all fifteen Phantom Objects hidden across the game.
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| The Ward | Visit the closed ward.
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| Thorough Viewer | View three cut scenes without using Skip.
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| Toymaker | Create your puppet.
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| Unaided | Solve all Puzzles without using Skip.
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