| Achievement | How to unlock
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| 911 | Use a first-aid kit 100 times in Trial mode.
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| All present | Unlock every character.
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| Almost there | Exit the fourth zone in Trial mode.
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| Anomaly hunter | Use the trap to destroy the electrical anomaly in Trial mode.
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| Attacks of aggression | Acquire "Attacks of aggression" madness for the first time in Trial mode.
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| Backhanded | Break any tool.
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| Belissimo! | Cook food in the oven in Trial mode 20 times.
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| Bouncer | Break 50 doors in Trial mode.
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| Burst of anger | Acquire "Burst of anger" madness for the first time in Trial mode.
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| Clever hands | Complete any 25 repairs in Trial mode.
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| Coffeeman | Eat 50 coffee beans in Trial mode.
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| Collector | Find every tool in the game.
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| Color blindness | Acquire "Color blindness" madness for the first time in Trial mode.
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| Crazy laughter | Acquire "Crazy laughter" madness for the first time in Trial mode.
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| Doubtful utility | Acquire "Doubtful utility" madness for the first time in Trial mode.
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| Fatal shot | Earn the second bad ending in Trial mode.
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| Fireman | Add fuel to furnaces 50 times in Trial mode.
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| First drag | Smoke a cigarette.
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| First madness | Turn mad for the first time in Trial mode.
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| First step | Exit the first zone in Trial mode.
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| Gangster | Fire a gun 20 times in Trial mode.
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| Gluttony | Acquire "Gluttony" madness for the first time in Trial mode.
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| Hallucinations | Acquire "Hallucinations" madness for the first time in Trial mode.
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| Handle with care | Finish four zones in a row without breaking a single door in Trial mode.
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| Heartless behavior | Leave a living character behind when proceeding to the next zone in Trial mode.
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| Hesitation | Earn the first bad ending in Trial mode.
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| Homesick | Acquire "Homesick" madness for the first time in Trial mode.
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| Hyperopia | Acquire "Hyperopia" madness for the first time in Trial mode.
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| Ideal manager | Complete the game with three characters in Trial mode.
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| Insomnia | Don't sleep in the first zone in Trial mode.
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| Last door | Exit the fifth zone in Trial mode.
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| Last man standing | End the game in Trial mode with one survivor.
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| Midway | Exit the third zone in Trial mode.
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| More wood! | Saw up nine crates during a single game in Challenge mode.
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| My poor lungs! | Smoke 10 cigarettes during a single game in Trial mode.
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| Myopia | Acquire "Myopia" madness for the first time in Trial mode.
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| Night vision | Acquire "Night vision" madness for the first time in Trial mode.
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| Obsessive singing | Acquire "Obsessive singing" madness for the first time in Trial mode.
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| Occult enlightenment | Acquire "Occult enlightenment" madness for the first time in Trial mode.
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| Overloaded reflector | Earn the secret ending available in Trial mode.
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| Paramedic | Resuscitate a character 30 times in Trial mode.
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| Repairs needed! | Break six objects while under the influence of the "Burst of anger" madness during a single game in Trial mode.
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| Rich ration | Cook every kind of food in the oven during a single game.
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| Selfish act | Earn the good ending in Trial mode.
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| Shakespearean expert | Acquire "Shakespearean expert" madness for the first time in Trial mode.
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| Space distortion | Acquire "Space distortion" madness for the first time in Trial mode.
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| Strange whisper | Acquire "Strange whisper" madness for the first time in Trial mode.
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| Survivor | Find and save the third character on the base in Trial mode.
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| Tesla | Turn on generators 100 times in Trial mode.
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| This is the end! | Complete the game with any ending.
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| Too much | Acquire "Too much" madness for the first time in Trial mode.
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| Two doors behind | Exit the second zone in Trial mode.
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| Unbearable hunger | Acquire "Unbearable hunger" madness for the first time in Trial mode.
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| Warpath | Charge the reflector once in Trial mode.
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| White noise | Acquire "White noise" madness for the first time in Trial mode.
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