| Achievement | How to unlock
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| - Use a first-aid kit 100 times in Trial mode.
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| - Exit the fourth zone in Trial mode.
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| - Use the trap to destroy the electrical anomaly in Trial mode.
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| - Acquire "Attacks of aggression" madness for the first time in Trial mode.
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| - Cook food in the oven in Trial mode 20 times.
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| - Break 50 doors in Trial mode.
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| - Acquire "Burst of anger" madness for the first time in Trial mode.
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| - Complete any 25 repairs in Trial mode.
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| - Eat 50 coffee beans in Trial mode.
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| - Find every tool in the game.
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| - Acquire "Color blindness" madness for the first time in Trial mode.
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| - Acquire "Crazy laughter" madness for the first time in Trial mode.
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| - Acquire "Doubtful utility" madness for the first time in Trial mode.
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| - Earn the second bad ending in Trial mode.
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| - Add fuel to furnaces 50 times in Trial mode.
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| - Turn mad for the first time in Trial mode.
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| - Exit the first zone in Trial mode.
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| - Fire a gun 20 times in Trial mode.
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| - Acquire "Gluttony" madness for the first time in Trial mode.
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| - Acquire "Hallucinations" madness for the first time in Trial mode.
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| - Finish four zones in a row without breaking a single door in Trial mode.
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| - Leave a living character behind when proceeding to the next zone in Trial mode.
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| - Earn the first bad ending in Trial mode.
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| - Acquire "Homesick" madness for the first time in Trial mode.
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| - Acquire "Hyperopia" madness for the first time in Trial mode.
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| - Complete the game with three characters in Trial mode.
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| - Don't sleep in the first zone in Trial mode.
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| - Exit the fifth zone in Trial mode.
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| - End the game in Trial mode with one survivor.
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| - Exit the third zone in Trial mode.
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| - Saw up nine crates during a single game in Challenge mode.
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| - Smoke 10 cigarettes during a single game in Trial mode.
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| - Acquire "Myopia" madness for the first time in Trial mode.
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| - Acquire "Night vision" madness for the first time in Trial mode.
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| - Acquire "Obsessive singing" madness for the first time in Trial mode.
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| - Acquire "Occult enlightenment" madness for the first time in Trial mode.
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| - Earn the secret ending available in Trial mode.
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| - Resuscitate a character 30 times in Trial mode.
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| - Break six objects while under the influence of the "Burst of anger" madness during a single game in Trial mode.
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| - Cook every kind of food in the oven during a single game.
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| - Earn the good ending in Trial mode.
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| - Acquire "Shakespearean expert" madness for the first time in Trial mode.
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| - Acquire "Space distortion" madness for the first time in Trial mode.
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| - Acquire "Strange whisper" madness for the first time in Trial mode.
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| - Find and save the third character on the base in Trial mode.
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| - Turn on generators 100 times in Trial mode.
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| - Complete the game with any ending.
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| - Acquire "Too much" madness for the first time in Trial mode.
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| - Exit the second zone in Trial mode.
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| - Acquire "Unbearable hunger" madness for the first time in Trial mode.
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| - Charge the reflector once in Trial mode.
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| - Acquire "White noise" madness for the first time in Trial mode.
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