 There are 41 achievements with a total of 1000 points.
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 | Capital Punishment | 100  | ||||
| Completed the game on the hard game difficulty setting, any ending. |  (7) | |||||
 | Good Behavior | 50 | ||||
| Completed the game on any difficulty without killing any monsters. | (31) | |||||
 | Silent Hill Tour Guide | 100 | ||||
| Completed all side quests. | (11) | |||||
 | Useless Trinkets | 5 | ||||
| Completed the "Digging up the Past" side quest. | (2) | |||||
 | Birdman | 5 | ||||
| Completed the "Bird Cage" side quest. |  | |||||
 | Calling All Cars | 5 | ||||
| Completed the "All Points Bulletin" side quest. | (3) | |||||
 | Neighborhood Watch | 5 | ||||
| Completed the "Stolen Goods" side quest. | (4) | |||||
 | Art Appreciation | 5 | ||||
| Completed "The Art Collector" side quest. | | |||||
 | Silent Alarm | 5 | ||||
| Completed "The Bank" side quest. | (3) | |||||
 | Will Work For Food | 5 | ||||
| Completed the "Homeless" side quest. | (5) | |||||
 | Cutting Room Floor | 5 | ||||
| Completed the "Cinéma Vérité" side quest. | (5) | |||||
 | Turn Back Time | 5 | ||||
| Completed "The Gramophone" side quest. | (1) | |||||
 | What's Your Sign? | 5 | ||||
| Completed the "Shadow Play" side quest. | (4) | |||||
 | Telltale Heart | 5 | ||||
| Completed the "Dead Man's Hand" side quest. | (4) | |||||
 | Dust to Dust | 5 | ||||
| Completed the "Ashes to Ashes" side quest. | (1) | |||||
 | Long Walk, Short Pier | 5 | ||||
| Completed the "Ribbons" side quest. | (1) | |||||
 | Spot the Difference | 5 | ||||
| Completed the "Mirror, Mirror" side quest. | (1) | |||||
 | Silence is Golden | 20 | ||||
| Killed or incapacitated 10 Screamers. | | |||||
 | Shadow Boxer | 20 | ||||
| Killed or incapacitated 10 Dolls. | | |||||
 | Piñata Party | 20 | ||||
| Killed or incapacitated 10 Weeping Bats. | (11) | |||||
 | Lockdown | 20 | ||||
| Killed or incapacitated 10 Prisoner Minions. | | |||||
 | The Bigger They Are… | 20 | ||||
| Killed or incapacitated 10 Prisoner Juggernauts. | (1) | |||||
 | Fight or Flight? | 20 | ||||
| Escaped from 20 monsters. | | |||||
 | Silent Hill Historic Society | 50 | ||||
| Completed Murphy's Journal with all Mysteries. | (12) | |||||
 | Stay of Execution | 25 | ||||
| Incapacitated 20 monsters without killing them. | (3) | |||||
 | Gun Control | 25 | ||||
| Killed 25 monsters with the Pistol or Shotgun. | (4) | |||||
 | Hypochondriac | 10 | ||||
| Used 20 First Aid Kits. | (2) | |||||
 | Puzzle Master | 100 | ||||
| Completed the game on the hard puzzle difficulty setting, any ending. | (14) | |||||
Secret Achievements | ||||||
 | Now You're Cooking… | 10 | ||||
| Survived the Diner Otherworld. | (1) | |||||
 | Out of the Frying Pan | 10 | ||||
| Rode the Sky Tram to Devil's Pit. | | |||||
 | Going off the Rails | 10 | ||||
| Escaped from Devil's Pit. | | |||||
 | Found a Friend! | 10 | ||||
| Met DJ Ricks in the Radio Station. | | |||||
 | Whatever Doesn't Kill You… | 10 | ||||
| Escaped the Radio Station Otherworld. | (1) | |||||
 | Ashes, Ashes | 10 | ||||
| Collected 3 pages of the rhyme book. | | |||||
 | Broken Cycle | 10 | ||||
| Defeated The Bogeyman. | | |||||
 | No Turning Back | 10 | ||||
| Reached Overlook Penitentiary. | | |||||
 | Ending A | 50 | ||||
| Achieved "Forgiveness" ending. | (5) | |||||
 | Ending C | 50 | ||||
| Achieved "Full Circle" ending. | (4) | |||||
 | Ending B | 50 | ||||
| Achieved "Truth & Justice" ending. | (16) | |||||
 | Ending D | 50 | ||||
| Achieved "Execution" ending. | (11) | |||||
 | Ending E | 70 | ||||
| Achieved "Surprise!" ending. | (8) | |||||
| Developer: Vatra Games Publisher: Konami Genre Action Release: US: March 13, 2012 |  | ||
| Collection: | 313 | ||
| Wishlist: | 208 | ||
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