| Trophy | How to unlock | Type
|
|---|
| A storm of bullets | Dual wield Machine Pistols | Bronze
|
| Arachnophobia (secret) | Die from spider venom | Bronze
|
| Barrel of laughs | Kill 20 enemies with barrels | Bronze
|
| Blow your mind | Get 100 headshots | Silver
|
| Dead eye | Get > 80% accuracy on a level | Silver
|
| Diagnosis complete | Finish the story on any difficulty | Silver
|
| Do you feel lucky? | Dual wield Revolvers | Bronze
|
| Duck hunter | Shoot all the moving ducks in 'Haunted Lodge' | Silver
|
| Final Inferno killer | Finish 'Final Inferno' on Insane | Silver
|
| Final Inferno survivor | Finish 'Final Inferno' | Bronze
|
| Final treatment | Collect all trophies | Platinum
|
| For my next trick (secret) | Get killed by a sawblade | Bronze
|
| Four barrel spray of death | Dual wield Shotguns | Bronze
|
| Ghost Town killer | Finish 'Ghost Town' on Insane | Silver
|
| Ghost Town survivor | Finish 'Ghost Town' | Bronze
|
| Haunted Lodge killer | Finish 'Haunted Lodge' on Insane | Silver
|
| Haunted Lodge survivor | Finish 'Haunted Lodge' | Bronze
|
| Head trauma (secret) | Die from hitting head on a barrier | Bronze
|
| Hotel Hell killer | Finish 'Hotel Hell' on Insane | Silver
|
| Hotel Hell survivor | Finish 'Hotel Hell' | Bronze
|
| I bestow this fire-power | Pick up a new weapon | Bronze
|
| I shoot therefore I am | Beat a previous set score on a level | Bronze
|
| Master arsenal | Have picked up all weapons | Bronze
|
| Mines of Death killer | Finish 'Mines of Death' on Insane | Silver
|
| Mines of Death survivor | Finish 'Mines of Death' | Bronze
|
| Moment of sanity (secret) | See all the 'Moment of sanity' sequences | Silver
|
| Mostly armless | Blast off 100 limbs | Bronze
|
| Nightmare Descent killer | Finish 'Nightmare Descent' on Insane | Silver
|
| Nightmare Descent survivor | Finish 'Nightmare Descent' | Bronze
|
| Nowhere to hide | Hit three targets with one shot from the Revolver | Bronze
|
| Obsessive collector | Collect all the skittles | Gold
|
| Old school | Complete a level using only pistols | Silver
|
| On a roll | Reach multiplier x4 | Bronze
|
| Psycho Cellblock killer | Finish 'Psycho Cellblock' on Insane | Silver
|
| Psycho Cellblock survivor | Finish 'Psycho Cellblock' | Bronze
|
| Secret spotter | Collect all the skittles in one level | Silver
|
| Spitting lead | Hit three or more targets with a blast from the shotgun | Bronze
|
| The nightmare ends | Finish the story on Psychotic | Gold
|
| Unstoppable | Reach multiplier x8 | Silver
|
| Won armed | Complete a level using only one hand | Silver
|