 There are 32 achievements with a total of 1000 points.
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| Sort: |   | | ||||
 | Lock 'n' Load | 25  | ||||
| Found Rifle |  (4) | |||||
 | Sightseeing | 10 | ||||
| Found 1 Photo | (1) | |||||
 | Josh's Gallery | 50 | ||||
| Found ALL Photos | (2) | |||||
 | Alchemilla's Finest | 10 | ||||
| Defeated 1 Nurse |  | |||||
 | Eddie's Legacy | 10 | ||||
| Defeated 1 Feral | (1) | |||||
 | Lurk No More | 10 | ||||
| Defeated 1 Lurker | | |||||
 | To The Point | 10 | ||||
| Defeated 1 Needler | (4) | |||||
 | Split Personality | 10 | ||||
| Defeated 1 Schism | (1) | |||||
 | Shades of James | 20 | ||||
| Defeated 1 Siam | | |||||
 | Clear the Air | 10 | ||||
| Defeated 1 Smog | (1) | |||||
 | Creeper Reaper | 10 | ||||
| Defeated 1 Swarm | | |||||
 | Out of Order | 10 | ||||
| Defeated 1 Order member | | |||||
 | Kaufmann's Handiwork | 10 | ||||
| Found 1 Serum | | |||||
 | Health Junkie | 50 | ||||
| Found all Serums | (5) | |||||
 | The Old Gods... | 100 | ||||
| .. Haven't Left This Place Complete game on HARD difficulty. | (8) | |||||
 | Nursery Rhymes | 50 | ||||
| Found all the Children's Drawings | (6) | |||||
Secret Achievements | ||||||
 | Six Feet Under | 50 | ||||
| Defeated Sepulcher | | |||||
 | Blood Donor | 50 | ||||
| Defeated Scarlet | (5) | |||||
 | Catch Your Breath | 50 | ||||
| Defeated Asphyxia | (3) | |||||
 | Head Above Water | 50 | ||||
| Defeated Amnion | (2) | |||||
 | Rising Tension | 25 | ||||
| Found Circular Saw | (2) | |||||
 | Science Fiction | 25 | ||||
| Found Laser Pistol | (9) | |||||
 | Smile | 50 | ||||
| Achieved Ending 1 | (1) | |||||
 | In Water | 50 | ||||
| Achieved Ending 2 | (2) | |||||
 | Judgement | 50 | ||||
| Achieved Ending 3 | (4) | |||||
 | Intensive Care | 50 | ||||
| Achieved Ending 4 | (1) | |||||
 | No Dogs Allowed | 50 | ||||
| Achieved Ending 5 | (5) | |||||
 | Mercy | 20 | ||||
| Alex ended his mother's suffering | | |||||
 | Compassion | 20 | ||||
| Alex could not end his mother's suffering | | |||||
 | Forgiveness | 20 | ||||
| Alex Forgives his father | | |||||
 | Angela's Choice | 20 | ||||
| Alex does not forgive his father | | |||||
 | Now About Those Drinks | 25 | ||||
| Saved Wheeler | | |||||
| Developer: The Collective Publisher: Konami Genre Action Release: Europe: February 27, 2009 |  | ||
| Collection: | 1261 | ||
| Wishlist: | 234 | ||
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