| Achievement | How to unlock
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| A Murder of Crows | Shoot a crow.
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| Access Granted | Access top secret Mayer lab.
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| Audiophile | Collect all vinyl records.
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| Breathing Exercises | Acquire the Gas Mask in your building.
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| Feedback Loop | Stun The Flash using your Radio Device.
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| Flashback | Finish Tape 4.
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| Fully Loaded | Find all weapons in the game.
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| GOTY 10/10 | Pet Tonia.
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| Give Me All You Got! | Shoot down a Shade projectile.
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| Good Listener | Find and listen to all of Lucas' session fragments.
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| High Five for Dummies | Give Dave a high five while fighting for your mind.
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| Improvise. Adapt. Overcome | Finish Tape 5.
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| Lights Out! | Finish Tape 2.
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| Mirror, Mirror, on the Wall... | Finish Tape 1.
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| Nope | Hang up on your sneaky stalker.
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| Ole! | Trick The Bull into attacking an inkblot.
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| Patients and Grace | Finish In Sound Mind.
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| Pharma Bro | Collect all pills in your building.
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| Pill Popper | Collect all pills in the forest level.
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| Pill Prescriber | Collect all pills in the supermarket level.
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| Pill Prospector | Collect all pills in the factory level.
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| Pill Pusher | Collect all pills in the lighthouse level.
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| Point and Shoot | Acquire the Pistol in your building.
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| Rodeo Clown | Ride The Bull for five seconds.
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| Scatterbrain | Acquire the Shotgun in your building.
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| Shopping for Achievements | Push a cart into the water on the way to Homa Mart.
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| Take That! | Damage The Shade using a weapon.
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| Take a Chill Pill | Finish Tape 3.
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| Turn that Frown Upside Down | Give a mannequin a face.
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| Unsung Hero | Find Rosemary's secret song.
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| Well Medicated | Find all pills in the game.
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| You're a Mean One... | Scare The Watcher away using the Mirror Shard.
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