| icon | info | gamerscore |
|---|---|---|
| Give Me Five! First kill with a Mannequin Arm. | 10 | |
| Kill Or Be Killed Killed a Collared Minion with a collar detonation. | 30 | |
| Damaged Goods Release Amanda from her Trap. | 40 | |
| You've Wasted Your Life Idle for five minutes. | 5 | |
| Surgeon First kill with a Scalpel. | 10 | |
| Forced Entry Unlocked first door. | 10 | |
| Who Is The Jigsaw Killer? Find your first Patient File. | 15 | |
| Pipe Dream First kill with a Pipe. | 10 | |
| It Was An Accident Kill first minion. | 10 | |
| I'm In Charge Fought first NPC. | 10 | |
| Would You Like To Know More? Find your first Asylum File. | 20 | |
| What Was That?!? First encounter with Pighead. | 5 | |
| Just Experimenting Used Health Syringe for the first time | 10 | |
| Treasure! Unlock first container. | 10 | |
| It's A Trap! Complete Reverse Bear Trap. | 40 | |
| Darwin Would Be Proud Died once. | 20 | |
| Merciless Stomped five Minions to death. | 20 | |
| Whoops! First kill with a Stun Mine. | 10 | |
| Curb Stomp Stomped first Minion to death. | 10 | |
| Splitting Headache First kill with Scissors. | 10 | |
| Cost of the Truth Complete game using Truth Door. | 100 | |
| Never Truly Free Complete game using Freedom Door. | 100 | |
| You've Been Served First kill with a Table Leg. | 10 | |
| Violence Begets Violence Kill the Pighead. | 40 | |
| Born Victim Release Jeff from his Trap. | 40 | |
| Choked Up First kill with a Gas Mine. | 10 | |
| Wait For The Boom First kill with an Explosive Mine. | 10 | |
| Fire Hazard First kill with fire | 10 | |
| Grave Digger First kill with a Shovel. | 10 | |
| Eager Student Release Obi from his Trap. | 40 | |
| Professional Unlock 20 locked doors. | 50 | |
| Aphasia Release Oswald from his Trap. | 40 | |
| I Can Stop Anytime Used 20 Health Syringes. | 20 | |
| Say Hello To My Little Friend First kill with a Gun. | 10 | |
| Absent Parent Release Melissa from her Trap. | 40 | |
| Hatchet Job First kill with a Hatchet. | 10 | |
| Hit And Run Release Jennings from his Trap. | 40 | |
| Duress Kill 20 minions. | 20 | |
| Penetrated First kill with a Syringe. | 10 | |
| Cleaning Up First kill with a Mop Handle. | 10 | |
| Sometimes It Sticks First kill with a Nail Bat. | 10 | |
| You'll Need This Afterwards First kill with a Crutch. | 10 | |
| Locksmith Unlock 5 locked doors. | 20 | |
| Self-Defense Kill 10 minions. | 15 | |
| Lights Off First kill with a Table Lamp. | 10 | |
| Homerun First kill with a Bat. | 10 |
