40Achievements
Final treatment
Collect all trophies
(0.1%)
Haunted Lodge survivor
Finish 'Haunted Lodge'
(89.7%)
Nightmare Descent survivor
Finish 'Nightmare Descent'
(74.4%)
Hotel Hell survivor
Finish 'Hotel Hell'
(52.8%)
Psycho Cellblock survivor
Finish 'Psycho Cellblock'
(39.1%)
Ghost Town survivor
Finish 'Ghost Town'
(34.3%)
Mines of Death survivor
Finish 'Mines of Death'
(28.1%)
Final Inferno survivor
Finish 'Final Inferno'
(21.4%)
Haunted Lodge killer
Finish 'Haunted Lodge' on Insane
(20.4%)
Nightmare Descent killer
Finish 'Nightmare Descent' on Insane
(12.4%)
Hotel Hell killer
Finish 'Hotel Hell' on Insane
(5.8%)
Psycho Cellblock killer
Finish 'Psycho Cellblock' on Insane
(4.2%)
Ghost Town killer
Finish 'Ghost Town' on Insane
(3.3%)
Mines of Death killer
Finish 'Mines of Death' on Insane
(2.5%)
Final Inferno killer
Finish 'Final Inferno' on Insane
(1.5%)
Diagnosis complete
Finish the story on any difficulty
(16.6%)
The nightmare ends
Finish the story on Psychotic
(0.1%)
Secret spotter
Collect all the skittles in one level
(1.4%)
Obsessive collector
Collect all the skittles
(0.2%)
I bestow this fire-power
Pick up a new weapon
(96.2%)
Master arsenal
Have picked up all weapons
(38.9%)
Four barrel spray of death
Dual wield Shotguns
(80.7%)
A storm of bullets
Dual wield Machine Pistols
(49.8%)
Do you feel lucky?
Dual wield Revolvers
(50.9%)
On a roll
Reach multiplier x4
(97.8%)
Unstoppable
Reach multiplier x8
(69.2%)
I shoot therefore I am
Beat a previous set score on a level
(30.2%)
Barrel of laughs
Kill 20 enemies with barrels
(15.7%)
Duck hunter
Shoot all the moving ducks in 'Haunted Lodge'
(57.3%)
Old school
Complete a level using only pistols
(0.7%)
Won armed
Complete a level using only one hand
(1.9%)
Blow your mind
Get 100 headshots
(41.5%)
Mostly armless
Blast off 100 limbs
(54.3%)
Dead eye
Get > 80% accuracy on a level
(24.3%)
Arachnophobia
This Accomplishment is secret. Keep playing!
(26.2%)
Head trauma
This Accomplishment is secret. Keep playing!
(12.7%)
For my next trick
This Accomplishment is secret. Keep playing!
(14.1%)
Moment of sanity
This Accomplishment is secret. Keep playing!
(0.3%)
Nowhere to hide
Hit three targets with one shot from the Revolver
(33.4%)
Spitting lead
Hit three or more targets with a blast from the shotgun
(76.0%)