| Trophy | How to unlock
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| - Achieve the NEUTRAL ending in every Forsaken Room.
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| - Complete your Artifacts Checklist 100%.
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| - Complete your Rooms Checklist 100%.
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| - Complete your Weapons Checklist 100%.
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| - Defeat the Steel Guardian and complete the game.
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| - Defeat any Guardian without taking damage.
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| - Earn a 30 or greater timed hit combo.
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| - Level up 10 different weapons.
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| - Lose more than 400% health in one Zone without dying.
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| - Use Blood Barrage Karma Ability to kill 5 or more enemies.
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| - Use Blood Beam Karma Ability on 5 or more enemies at once.
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| - Use Blood Burn Karma Ability to damage 4 different enemy types at once.
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| - Complete a Zone using only your fists (no weapons).
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| - Complete any 5 puzzles without using the hint lever.
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| - Defeat 25 Butchers with the Great Cleaver.
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| - Make a purchase in Howard's shop.
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| - Complete your Broadcasts Checklist 100%.
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- Disorderly Conduct (Bronze)
| - Defeat 25 Nurses with the Steel Pipe.
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| - Complete Valtiel's missions in Zones 1 through 21.
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| - Perform a timed execution on 10 enemies in one Zone.
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| - Defeat the Fire Guardian.
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| - Defeat 25 Bogeymen with the Bogeyman's Hammer.
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- Hyperthymesiac (Platinum)
| - Earn every trophy in the game.
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| - Trigger every kind of trap in the game.
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| - Complete your Notes Checklist 100%.
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| - Use Heal Me Karma Ability to restore 25% or more health.
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| - Use Heal Us Karma Ability to restore 50% or more health each to 3 players (multiplayer).
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| - Use Heal You Karma Ability to restore 50% or more health to a friend (multiplayer).
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| |
| - Defeat the Wood Guardian.
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| - Drop a health pack after a friend requests one (multiplayer).
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| - Defeat the Earth Guardian.
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| - Spend over 250,000 MR in Howard's shop.
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| - Complete a Zone without turning on your flashlight.
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| - Defeat the Blood Guardian.
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| - Defeat the Water Guardian.
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| - Use Weapon Breaker Power Move with a weapon that's about to shatter.
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| - Use Charge Tackle Power Move to knock one enemy into another.
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| - Use Flash Burst Power Move to kill 5 or more stunned enemies in a row.
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| - Use Karma Flip Power Move to flip 8 or more enemies at once.
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| - Use Push Force Power Move to knock 8 or more enemies back at once.
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| - Use Health Siphon Power Move to bring a dying friend back to life (multiplayer).
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| - Use 360 Attack Power Move to strike 4 or more enemies at once.
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| - Defeat 25 Pyramid Heads with the Great Knife.
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| - Achieve the LIGHT ending in every Forsaken Room.
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| - Defeat the Light Guardian.
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| - Achieve the BLOOD ending in every Forsaken Room.
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| - Achieve all 6 of the game's endings.
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| - Complete a Zone without stopping for more than 30 seconds total.
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| - Perform every in-game VO clip for one character.
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| - Complete your Bestiary Checklist 100%.
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| - Defeat any Guardian with all four players still alive (multiplayer).
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