| Trophy | How to unlock
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|---|
| A neverending nightmare (Gold) | Finish the game on Nightmare difficulty.
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| A real bookworm (Silver) | Read every book in the library.
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| Answer the call (Bronze) | Escape the hydro dam.
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| Broken bones (Silver) | Use all three x-rays in the hospital.
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| Checked yourself out (Bronze) | Leave the hospital.
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| Cold, black and infinite (Bronze) | Get caught by one of the unseen horrors.
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| Flawless victory (Gold) | Survive the night on any difficulty without ever getting caught
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| It pays to pay attention (Bronze) | Find the keys in the high school.
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| Just made it (Silver) | Escape to another room and hide.
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| Like a ghost (Gold) | Complete the story on any difficulty without alerting a single monster
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| Lower lumber support (Bronze) | Discover a way out of the sawmill.
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| Mix it up (Bronze) | Order a mixed beverage at Sam's.
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| Out of sight, out of mind (Bronze) | Escape Grace's house without being seen in the trailer park.
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| Pen pals (Silver) | Read three important letters in the trailer park.
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| Recurring dream (Gold) | Finish the game on Hard difficulty.
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| Ruiner (Silver) | Uncover a disturbing operation throughout town.
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| Secrets (Gold) | Finish the game on Normal difficulty.
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| Splitting headache (Bronze) | Regain your senses in the hospital.
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| Stay frosty (Bronze) | Order a frosty one at Sam's.
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| Stop me if you've heard this one before (Bronze) | Read about a very familiar story
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| That's disgusting (Bronze) | Get the frozen key in the sawmill.
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| The classy one (Bronze) | Order a glass of red at Sam's.
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| The downward spiral (Silver) | Investigate what Jack has been up to.
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| The future looks bright (Silver) | Read the newspaper article about space travel.
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| The way out is through (Silver) | Make it back to the lobby in the second high school.
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| The worst night of your life (Bronze) | Survive your high school reunion.
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| Total washout (Bronze) | Find a way through the trailer park.
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| Twin peeks (Silver) | Discover what happened to Vanessa.
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| Whatchou readin' for? (Bronze) | Make your way out of the library.
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| You can't go home again (Platinum) | Collect all trophies.
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| You're projecting (Bronze) | Use all three slides in the high school projector.
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