| Achievement | How to unlock | Points
|
|---|
| Amnesia | Complete the game without saving. | 60
|
| Anxiety | Complete the game in under three hours. | 60
|
| Crucifixion | Kill an enemy using a trap. | 20
|
| Death | Let the shadows consume you. | 20
|
| Dedication | Collect all of William's diary entries. | 40
|
| Electricity | Start the generator. | 20
|
| Escape | Escape from the bathroom. | 20
|
| Frustration | Locate Anna. | 20
|
| Gunsmith | Create the shotgun. | 20
|
| Journey | Travel to the past. | 20
|
| Killer | Kill 20 enemies. | 40
|
| Loop | Escape the infinite room. | 40
|
| Love | Collect all of Maria's diary entries. | 40
|
| Master Key | Solve all the combination key puzzles. | 40
|
| Mind | Activate the door to the operation area. | 20
|
| Nostalgia | Complete the game. | 40
|
| Obsession | Unlock the door under the hall stairs. | 40
|
| Redemption | Collect all of Bertram's diary entries. | 40
|
| Registry | Save the game. | 20
|
| Relief | Pick up five first aid kits. | 40
|
| Remembrance | Find your old hiding place. | 20
|
| Remorse | Save only yourself. | 40
|
| Sacrifice | Open the vault. | 20
|
| Serial Killer | Kill 40 enemies. | 60
|
| Sisters | Escape with Anna. | 60
|
| Suffering | Collect all of Anna's diary entries. | 40
|
| Surgery | Reattach a limb. | 20
|
| Untouchable | Complete the game without using any health items. | 60
|
| Water | Start the pump. | 20
|