| Achievement | How to unlock
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|---|
| A neverending nightmare (90 points) | Finish the game on Nightmare difficulty.
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| A real bookworm (30 points) | Read every book in the library.
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| Answer the call (15 points) | Escape the hydro dam.
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| Broken bones (30 points) | Use all three x-rays in the hospital.
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| Checked yourself out (15 points) | Leave the hospital.
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| Cold, black and infinite (15 points) | Get caught by one of the unseen horrors.
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| Flawless victory (95 points) | Survive the night on any difficulty without ever getting caught
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| It pays to pay attention (15 points) | Find the keys in the high school.
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| Just made it (30 points) | Escape to another room and hide.
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| Like a ghost (95 points) | Complete the story on any difficulty without alerting a single monster
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| Lower lumber support (15 points) | Discover a way out of the sawmill.
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| Mix it up (15 points) | Order a mixed beverage at Sam's.
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| Out of sight, out of mind (20 points) | Escape Grace's house without being seen in the trailer park.
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| Pen pals (30 points) | Read three important letters in the trailer park.
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| Recurring dream (90 points) | Finish the game on Hard difficulty.
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| Ruiner (30 points) | Uncover a disturbing operation throughout town.
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| Splitting headache (15 points) | Regain your senses in the hospital.
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| Stay frosty (15 points) | Order a frosty one at Sam's.
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| Stop me if you've heard this one before (30 points) | Read about a very familiar story.
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| That's disgusting (15 points) | Get the frozen key in the sawmill.
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| The classy one (15 points) | Order a glass of red at Sam's.
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| The downward spiral (35 points) | Investigate what Jack has been up to.
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| The future looks bright (30 points) | Read the newspaper article about space travel.
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| The way out is through (35 points) | Make it back to the lobby in the second high school.
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| The worst night of your life (15 points) | Survive your high school reunion.
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| The worst night of your life (90 points) | Finish the game on Normal difficulty.
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| Total washout (15 points) | Find a way through the trailer park.
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| Twin peeks (30 points) | Discover what happened to Vanessa.
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| Whatchou readin' for? (15 points) | Make your way out of the library.
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| You're projecting (15 points) | Use all three slides in the high school projector.
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