| icon | info | gamerscore |
|---|---|---|
| Sightseeing Found 1 Photo | 10 | |
| Creeper Reaper Defeated 1 Swarm | 10 | |
| Alchemilla's Finest Defeated 1 Nurse | 10 | |
| In Water Achieved Ending 2 | 50 | |
| Intensive Care Achieved Ending 4 | 50 | |
| Judgement Achieved Ending 3 | 50 | |
| Smile! Achieved Ending 1 | 50 | |
| The Old Gods... .. Haven't Left This Place
Complete game on HARD difficulty. | 100 | |
| Nursery Rhymes Found all the Children's Drawings | 50 | |
| Forgiveness Alex forgives his father | 20 | |
| Josh's Gallery Found ALL Photos | 50 | |
| Mercy Alex ended his mother's suffering | 20 | |
| Rising Tension Found Circular Saw | 25 | |
| Science Fiction Found Laser Pistol | 25 | |
| No Dogs Allowed Achieved Ending 5 | 50 | |
| Head Above Water Defeated Amnion | 50 | |
| Now about those drinks Saved Wheeler | 25 | |
| Health Junkie Found all Serums | 50 | |
| Angela's Choice Alex does not forgive his father | 20 | |
| Catch Your Breath Defeated Asphyxia | 50 | |
| Compassion Alex could not end his mother's suffering | 20 | |
| Lock 'n' Load Found Rifle | 25 | |
| Out of Order Defeated 1 Order member | 10 | |
| Blood Donor Defeated Scarlet | 50 | |
| Shades of James Defeated 1 Siam | 20 | |
| Split Personality Defeated 1 Schism | 10 | |
| Six Feet Under Defeated Sepulcher | 50 | |
| To The Point Defeated 1 Needler | 10 | |
| Clear the Air Defeated 1 Smog | 10 | |
| Eddie's Legacy Defeated 1 Feral | 10 | |
| Lurk No More Defeated 1 Lurker | 10 | |
| Kaufmann's Handiwork Found 1 Serum | 10 |
