| Trophy | How to unlock
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| Art Appreciation (Bronze) | Completed "The Art Collector" side quest.
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| Ashes, Ashes (Bronze) | Collected 3 pages of the rhyme book.
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| Birdman (Bronze) | Completed the "Bird Cage" side quest.
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| Broken Cycle (Bronze) | Defeated The Bogeyman.
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| Calling All Cars (Bronze) | Completed the "All Points Bulletin" side quest.
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| Capital Punishment (Gold) | Completed the game on the hard game difficulty setting, any ending.
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| Cutting Room Floor (Bronze) | Completed the "Cinéma Vérité" side quest.
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| Dust to Dust (Bronze) | Completed the "Ashes to Ashes" side quest.
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| Ending A (Silver) | Achieved "Forgiveness" ending.
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| Ending B (Silver) | Achieved "Truth & Justice" ending.
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| Ending C (Silver) | Achieved "Full Circle" ending.
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| Ending D (Silver) | Achieved "Execution" ending.
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| Ending E (Silver) | Achieved "Surprise!" ending.
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| Fight or Flight? (Silver) | Escaped from 20 monsters.
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| Found a Friend! (Bronze) | Met DJ Ricks in the Radio Station.
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| Going off the Rails (Bronze) | Escaped from Devil's Pit.
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| Good Behavior (Silver) | Completed the game on any difficulty without killing any monsters.
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| Gun Control (Bronze) | Killed 25 monsters with the Pistol or Shotgun.
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| Hypochondriac (Bronze) | Used 20 First Aid Kits.
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| Lockdown (Silver) | Killed or incapacitated 10 Prisoner Minions.
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| Long Walk, Short Pier (Bronze) | Completed the "Ribbons" side quest.
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| Neighborhood Watch (Bronze) | Completed the "Stolen Goods" side quest.
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| No Turning Back (Bronze) | Reached Overlook Penitentiary.
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| Now You're Cooking... (Bronze) | Survived the Diner Otherworld.
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| Out of the Frying Pan (Bronze) | Rode the Sky Tram to Devil's Pit.
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| Piñata Party (Silver) | Killed or incapacitated 10 Weeping Bats.
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| Puzzle Master (Gold) | Completed the game on the hard puzzle difficulty setting, any ending.
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| Rain Maker (Platinum) | Collected all trophies.
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| Shadow Boxer (Silver) | Killed or incapacitated 10 Dolls.
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| Silence is Golden (Silver) | Killed or incapacitated 10 Screamers.
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| Silent Alarm (Bronze) | Completed "The Bank" side quest.
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| Silent Hill Historic Society (Silver) | Completed Murphy's Journal with all Mysteries.
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| Silent Hill Tour Guide (Gold) | Completed all side quests.
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| Spot the Difference (Bronze) | Completed the "Mirror, Mirror" side quest.
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| Stay of Execution (Silver) | Incapacitated 20 monsters without killing them.
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| Telltale Heart (Bronze) | Completed the "Dead Man's Hand" side quest.
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| The Bigger They Are... (Silver) | Killed or incapacitated 10 Prisoner Juggernauts.
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| Turn Back Time (Bronze) | Completed "The Gramophone" side quest.
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| Useless Trinkets (Bronze) | Completed the "Digging up the Past" side quest.
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| What's Your Sign? (Bronze) | Completed the "Shadow Play" side quest.
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| Whatever Doesn't Kill You... (Bronze) | Escaped the Radio Station Otherworld.
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| Will Work For Food (Bronze) | Completed the "Homeless" side quest.
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