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