| Achievement | How to unlock
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|---|
| A Human Being | Kill Eddie.
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| Admitted | Reach Brookhaven Hospital.
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| All Seems in Order | Discover the secret of Room 106.
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| Alone Again | Survive the chase in Brookhaven Hospital.
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| Archivist | Collect all memos in a single playthrough.
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| As Close as You Like | Finish the game without killing enemies using ranged weapons.
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| Blunt Force Trauma | Kill 75 enemies with melee weapons.
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| Defy Even Death | Reach the "Rebirth" ending.
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| Echoes | Witness all glimpses of the past in a single playthrough.
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| Enjoy Your Stay | Reach Silent Hill.
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| Faster Than Fog | Finish the game in under ten hours.
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| Glimmer of Hope | Reach the Lakeview Hotel.
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| I Saw That Town | Complete New Game Plus on any difficulty.
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| Inner Sanctum | Find His room.
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| Into the Abyss | Reach the end of the long staircase.
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| It's Bread | Interact with bread.
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| James of All Trades | Kill at least one enemy with Wooden Plank, Steel Pipe, Handgun, Shotgun and Rifle in a single playthrough.
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| Leftovers | Find the pizza in Pete's Bowl-O-Rama.
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| Let's NOT Party! | Shoot all the balloons in Wood Side Apartments.
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| Lumberjack | Find the chainsaw.
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| Making Peace | Reach the "Leave" ending.
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| Merciless | Finish off 50 enemies with a stomp attack.
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| Nice and Cozy | Reach Wood Side Apartments.
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| Nightmare Fuel | Defeat the Flesh Lip.
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| No Big Deal | Kill 75 enemies with ranged weapons.
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| No Turning Back Now | Try to leave Silent Hill in the Observation Deck area.
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| Obsolete | Destroy what you don't need.
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| Only Way Out | Reach the "In Water" ending.
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| Otherworldly | Enter the Otherworld for the first time.
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| Party Like It's 2001 | See all classic endings (Leave, Maria, In Water, Rebirth, Dog).
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| Passed | Make your way out of Blue Creek Apartments.
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| Pieces Unarranged | Collect all the Strange Photos in a single playthrough.
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| Radio Silence | Complete the game without using the radio.
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| Scourge of Toluca Lake | Spend ten minutes out on Toluca Lake.
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| Shattered | Destroy 50 windows.
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| That Part of Me | Defeat Her.
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| The Goodest Boi | Reach the "Dog" ending.
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| Tinfoil Hat | Reach the "UFO" ending.
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| Truly Special | Reach Room 312.
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| Uncanny | Meet Maria.
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| Unforgivable | Defeat the Abstract Daddy.
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| Vicious Circle | Reach the "Maria" ending.
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| You Never Know... | Try to open locked doors 50 times.
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