| Achievement | How to unlock | Points
|
|---|
| A Song of Ice and Fire | Burn down a slowed enemy to ashes. | 5
|
| A Taste of Carnage | Kill 1000 enemies. | 5
|
| Across the Multiverse | Discover the darkest secrets of the priest's past. | 5
|
| All Set | Replace every weapon slot with a weapon variant different from starting. | 10
|
| Ambiguous Sport | Launch a Dimensional Leaper over the goal line in the Greenhouse. | 5
|
| Big Game | Blow apart a weakened Grenadier. | 5
|
| Cruel Act of Irony | Explode a Mimic using another barrel's explosion. | 5
|
| Endless Momentum | Confront the truth in the dangerous pursuit on the edge of sanity. | 50
|
| Explosive Expert | Kill five or more enemies with a single barrel explosion. | 5
|
| Final Resolve | End your mind's journey and reflect on your past experiences. | 50
|
| Full Curriculum | Fill yer book with me scribbles! | 50
|
| Full Psycho | Use up the entire Madness bar without interrupting the effect. | 20
|
| Graduation Gift | Open the safe using the hidden code. | 30
|
| Hide and Seek | I hid some weapon tokens. Find one! | 5
|
| I See The Way | Choose one of the paths presented at the crossroads of your path to salvation. | 50
|
| I am the Madness | Finish the game on Expert difficulty without lowering it. | 30
|
| Illuminated | Shed light on things invisible to the naked eye. | 50
|
| Judgement Day | Prove your devotion against a corrupted vision of your past. | 50
|
| Liberation | Is it a failure or a victory? | 100
|
| No Stone Left Unturned | Finish every level at 100%. | 50
|
| Pathfinder | Defeat Teleport's gauntlet without entering an already finished path. | 5
|
| Perfectionist | Complete one level at 100%. | 5
|
| PhD in Madness | Complete all objectives required to unlock the pages of the Dark Tome. | 30
|
| Plot Armor | Survive a lethal blow using the Resistance effect and live to tell the tale! | 50
|
| Reality Check | Find and destroy all dream clocks. | 50
|
| Rule of Cool | Complete any level on Expert difficulty without getting hit. | 50
|
| Sacrifice | You made a choice, but at what cost? | 100
|
| Spin Me Round | Spin a sign for at least ten seconds continuously. | 20
|
| The Last Letter | Begin the final chapter of your path to salvation. | 50
|
| This is Sparta! | Shoot an enemy and make it fall down a ledge. | 5
|
| Totally Medicine | Purchase one of me wares! | 5
|
| Web of Madness | Bring down the trauma scrounge of the subconscious. | 50
|