| icon | info | RA score |
|---|---|---|
 | Dissection Defeat the Split Worm on Normal difficulty or higher (New Game only) | 5points |
 | Excommunicated Defeat the Missionary on Normal difficulty or higher (New Game only) | 5points |
 | Faith No More Defeat Leonard on Normal difficulty or higher (New Game only) | 5points |
 | Letting Go Of The Past Defeat the Memory of Alessa on Normal difficulty or higher (New Game only) | 5points |
 | Godslayer Defeat the God on Normal difficulty or higher (New Game only) | 10points |
 | Troubled Sleep See your nightmare through to the end | 5points |
 | Black Friday Find your way out of the Central Square Shopping Center | 5points |
 | Train To Nowhere Successfully navigate the Subway | 5points |
 | Rise Above It Climb your way out of the Sewers | 5points |
 | Quitting Time Find a way out of the Hilltop Center | 5points |
 | Discharged Survive your stay in Brookhaven Hospital | 5points |
 | Unhappiest Place On Earth Get your fill of thrills at Lakeside Amusement Park | 5points |
 | Out Of Nowhere Navigate the maze-like Nowhere realm and face the music | 5points |
 | Silence Is Golden Obtain the Silencer | 5points |
 | It Was Heather, With The... Obtain the Steel Pipe | 5points |
 | A Good Spread Obtain the Shotgun | 5points |
 | Heavy Weapons Girl Obtain the Maul | 5points |
 | Study The Blade Obtain the Katana | 5points |
 | Necessary Force Obtain the Stun Gun | 5points |
 | Rat-A-Tat-Tat Obtain the Submachine Gun | 5points |
 | Now I Am The Master Obtain the Beam Saber | 10points |
 | Chronic And Sustained Cruelty Obtain the Flamethrower | 10points |
 | Ammo Cheats: ON Obtain the Unlimited SMG | 10points |
 | An Honest Man Obtain the Gold and Silver Pipes | 5points |
 | Gentle Push Encounter an unseen assailant... | 5points |
 | Birthday Girl Attend your birthday celebration. They even got you a card! | 5points |
 | The Path To Heaven Meet Danny | 5points |
 | Scavenger Collect over 125 items | 10points |
 | Cartographer Collect every map in the game | 5points |
 | Free At Last Complete the game on Normal difficulty (New Game only) | 10points |
 | Been Through Hell Complete the game on Hard difficulty (New Game only) | 25points |
 | Riddle Me This Complete the game on Normal riddle difficulty | 5points |
 | Well Read Complete the game on Hard riddle difficulty | 10points |
 | Can I Play Too Daddy? Unlock Beginner Mode | 1points |
 | Not Hiding Anymore Get the "Normal" ending | 10points |
 | Thirst For Blood Get the "Possessed" ending | 10points |
 | Close Encounter Get the "Revenge" ending | 10points |
 | Clear A Path Cut through 3 Closers with the Katana on Normal difficulty or higher (one session, no reloads) | 10points |
 | Mystery Meat Cook 5 Double Heads with the Flamethrower on Normal difficulty or higher (one session, no reloads) | 10points |
 | Wanna See A Numb Body? Poke down 5 Numb Bodies with the Knife on Normal difficulty or higher (one session, no reloads) | 10points |
 | Whack The Piñata Pop 3 Insane Cancers with the Maul on Normal difficulty or higher (one session, no reloads) | 10points |
 | Slurp On This! Strike down 5 Slurpers with the Beam Saber on Normal difficulty or higher (one session, no reloads) | 10points |
 | Skeet Shooting Shoot down 3 Pendulums with the Shotgun on Normal difficulty or higher (one session, no reloads) | 10points |
 | Junk Fight Condemn 5 Nurses with the Steel Pipe on Normal difficulty or higher (one session, no reloads) | 10points |
 | May The Lord Strike Me Down Electrocute 3 Scrapers with the Stun Gun on Normal difficulty or higher (one session, no reloads) | 10points |
 | Painfully Goth Kill 15 enemies with the Maul while wearing the God of Thunder costume (one session) | 10points |
 | Dress To Impress Equip the Golden Rooster costume, Gold Pipe, and Perfume | 10points |
 | Right Wrongs And Triumph Over Evil Transform into Princess Heart | 10points |
 | Rambo Style Kill 5 enemies in 25 seconds (timer starts after first enemy dies, progress resets 25 secs later) | 25points |
 | Outsquirm The Worm Defeat the Split Worm without taking damage on Normal difficulty or higher (New Game only) | 25points |
 | Mission Impossible Defeat the Missionary without taking damage on Normal difficulty or higher (New Game only) | 25points |
 | Thumped Defeat Leonard without taking damage on Normal difficulty or higher (New Game only) | 25points |
 | Self-Denial Defeat the Memory of Alessa without taking damage on Normal difficulty or higher (New Game only) | 25points |
 | Atheist Defeat the God without taking damage on Normal difficulty or higher (New Game only) | 25points |
 | What The Hell Was That? Defeat the Split Worm in under 2 minutes on Normal difficulty or higher (New Game only) | 10points |
 | I'll Get You For This Defeat the Missionary in under 2 minutes on Normal difficulty or higher (New Game only) | 10points |
 | You're Not A Person Defeat Leonard in under 3 minutes on Normal difficulty or higher (New Game only) | 10points |
 | Never Thought Of Myself As Such A Fool Defeat the Memory of Alessa in under 3 minutes on Normal difficulty or higher (New Game only) | 10points |
 | Looks Like God Didn't Make It Defeat the God in 8 minutes or less on Normal difficulty or higher (New Game only) | 10points |
 | Self-Reflection Take a moment to think about yourself - the real you - but don't dwell on it... | 5points |
 | The One On Who We Can Depend Defeat the God using the Sexy Beam on Normal difficulty or higher | 10points |
 | They All Look Like Monsters To Me Complete the game, killing more than 150 enemies (including bosses) on Normal difficulty or higher (New Game only) | 10points |
 | I Know The Way Complete the game in 3 hours or less on Normal difficulty or higher (New Game only) | 10points |
 | Pacifist Complete the game, killing no more than 10 enemies (including bosses) on Normal difficulty or higher (New Game only) | 10points |
 | Can't Touch This Complete the game, taking less than 500 damage on Normal difficulty or higher (New Game only) | 10points |
 | The Real God Of Silent Hill Complete the game in 1 hour and 30 minutes or less in one session, without saving or checking the map, on Normal difficulty or higher (New Game only) | 50points |
