Play the "Graveyard" level and shoot the ambulances that approach you. After flames appear from the engine, you have destroyed it. All the ambulances appear early, at the following locations.
In the second area, just keep advancing. When you see the lights, shoot at it and do not remain in its path.
In the fourth area after the trap passage, keep moving forward until you find a fence blocking your path. The ambulance will appear from there. Do not remain in its path.
In the sixth area, go to the right to find a parked ambulance. After some fights, the lights will switch on, indicating that the vehicle will move. Destroy it and do not remain stay in its path.
Achievement | How to unlock
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| - Play with at least 4 other people and collect 4 frags more than any of your enemies
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| - Solo Campaign: Find 25 secret areas
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| - Kill 1000 enemies in Survival mode
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| - Win Team Deathmatch with the highest score in your team
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| - Enclave: Kill Necrogiant in under 2:00 (Solo Campaign)
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| - Collect all available Black Tarrot cards
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| - Opera: Find all secret areas (Solo Campaign)
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| - Spend 666 seconds on bunny-hopping
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| - Swamp: Kill SwampThing in under 4:00 (Solo Campaign)
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| - Loonypark: Possess 25 enemies using Soul Catcher (Solo Campaign)
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| - Opera: Collect 100 souls (Solo Campaign)
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| - Colloseum: Pick up every ammo box (Solo Campaign)
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| - Win Survival killing at least 2 times more monsters than your rivals
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| - Cemetery: Beat the level (Solo Campaign)
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| - Solo Campaign: Finish 3rd chapter
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| - Solo Campaign: Collect 2012 pieces of gold from fallen enemies
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| - Kill 5 enemies with one rocket
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| - Factory: Kill 30 enemies in demon mode (Solo Campaign)
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| - Loonypark: Kill 3 monsters in a row using saw blade (Solo Campaign)
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| - Finish level without being hurt
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| - Solo Campaign: Finish 1st chapter
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| - Orphanage: Kill all monsters (Solo Campaign)
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| - Finish special Halloween map and collect all lollipops for Lucipher
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| - Tutorial: Destroy all objects (Solo Campaign)
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| - Keep the hit ratio above 90% in whole level
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| - Play 10 different levels in cooperative mode
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| - Get 30 kills in 3 minutes in Deathmatch mode
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| - Orphanage: Gib 50 frozen enemies (Solo Campaign)
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| - Kill 256 enemies when bunnyhopping
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| - Win Capture The Flag by bringing the flag to your base in last 10 seconds of the game
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| - Don't let any of your enemies collect Quad Damage
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| - Gib 500 enemies entirely with rockets
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| - Shadowland: Kill Grim Reaper (Solo Campaign)
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| - Kill enemy at the same time he kills you
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| - Kill 123 enemies with combo damage
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| - Kill 666 enemies with Soul Catcher
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| - Collect 667 souls of dismembered enemies
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| - Solo Campaign: Play whole game on Nightmare difficulty level
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| - Kill 6666 enemies with stakes
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| - Shadowland: Collect all Holy Items (Solo Campaign)
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| - Colloseum: Morph into demon 3 times (Solo Campaign)
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| - Kill 3 enemies with one shotgun blast
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| - Kill 3 enemies with one Boltgun shot
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| - Solo Campaign: Finish the level using stakes only and don't miss any hit
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| - Trainstation: Cut limbs of 100 enemies using Soul Catcher (Solo Campaign)
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| - Atrium Complex: Finish level in under 7:00 (Solo Campaign)
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| - Oriental Castle: Collect all Holy Items (Solo Campaign)
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| - Cathedral: Collect 330 pieces of gold dropped by enemies (Solo Campaign)
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| - Capture 3 flags playing as Eve in one game
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| - Play cooperative level and don't let your partner die
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| - Solo Campaign: Play whole game on Trauma difficulty level
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| - Oriental Castle: Gib 123 enemies (Solo Campaign)
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| - Kill 333 enemies with explosive weapons
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| - Alastor: Kill Alastor in under 5:00 (Solo Campaign)
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| - Kill 500 enemies with environmental explosions
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| - Don't die and win multiplayer game
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| - Kill 999 enemies with Shotgun
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| - Cathedral: Collect 500 gold (Solo Campaign)
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