| icon | info | RA score |
|---|---|---|
 | Let me burn Rescue Alessa from fire in less than 80 seconds. | 5points |
 | The girl from the fire... Enter in the Otherworld for the first time. | 3points |
 | The beauties Open the Medical Icebox in Alchemilla Hospital. | 5points |
 | Open your eyes Solve the plastic anatomy doll puzzle. | 5points |
 | Straight-Jacket Kill the first Straight-Jacket without taking damage and without equipping an unlockable weapon in Alchemilla Hospital. | 5points |
 | Flauros I Take the Future Piece in Alchemilla Hospital. | 10points |
 | What the hell is that!? Find a misterious enemy. | 5points |
 | Target Pistol Take the Target Pistol. | 5points |
 | Dahlia Gillespie Do not trust her, Travis. She does not know what she is doing... | 5points |
 | Out of use Solve the Iron Lung Puzzle in Cedar Groove Sanitarium. | 5points |
 | Interview Archives key Take the Interview Archives key. | 5points |
 | Medications Solve the five miniature dolls puzzle in Cedar Groove Sanitarium. | 5points |
 | Shotgun Take the Shotgun in Cedar Groove Sanitarium. | 5points |
 | Momma Kill Momma without taking damage and without equipping an unlockable weapon in Cedar Grove Sanitarium. | 10points |
 | Flauros II Take the Past Piece in Sanitarium. | 10points |
 | Lisa Garland Let's get the hell out of this crazy town... We could be so good together... | 5points |
 | Service Pistol Take the Service Pistol. | 5points |
 | Sun Totem Unlock the door with two square holes without accessing the Balcony Corridor in Artaud Theater. (Starting on the first Ariel) | 5points |
 | Alien Technology Kill 50 enemies using the Tesla Rifle without returning to the main menu. | 5points |
 | Theatre of Cruelty Solve the theater spotlight puzzle. | 5points |
 | Caliban Kill Caliban without taking damage and without equipping an unlockable weapon in Artaud Theater. | 10points |
 | Flauros III Take the Falsehood Piece in Artaud Theatre. | 10points |
 | Hunting Rifle Take the Hunting Rifle. | 5points |
 | Assault Rifle Take the Assault Rifle. | 5points |
 | Redeemer Take the Redeemer. | 5points |
 | A stalker!? Look through a specific peephole in Riverside Motel. | 5points |
 | Dr. Michael Kaufmann You have a habit of popping up where you're not wanted, Mr. Grady. Isn't it time you left town? | 5points |
 | The Laundry Solve the Washing Machine Puzzle in Riverside Motel. | 5points |
 | Richard and Helen Take the Wedding Ring. | 5points |
 | Room 500 Solve the Rotary Calendar Puzzle and unlock the key. | 5points |
 | Sad Daddy Kill Sad Daddy without taking damage and without equipping an unlockable weapon in Riverside Motel. | 10points |
 | Flauros IV Take the Truth Piece in Riverside Motel. | 10points |
 | Flauros V Take the Present Piece in Alchemilla Hospital and solve the puzzle. | 10points |
 | Alessa Gillespie What have you done? You broke the spell! Now she is free. | 3points |
 | Alessa's Dream Kill Alessa's Dream without taking damage and without equipping an unlockable weapon in Otherworld. | 25points |
 | We'll call her Cheryl Get the Good Ending. | 50points |
 | Serial Killer Get the Bad Ending. | 25points |
 | The Crescent Moon Take the Room 502 key. | 5points |
 | Ruff Ruff Get the UFO Ending. | 25points |
 | The Butcher Kill the Butcher without taking damage and without equipping an unlockable weapon in Riverside Motel. | 10points |
 | Nurse Kill 25 enemies. (No NG+) | 5points |
 | Carrion Kill 50 enemies. (No NG+) | 5points |
 | Remnant Kill 100 enemies. (No NG+) | 10points |
 | Ariel Kill 175 enemies. (No NG+) | 25points |
 | Twoback Kill 250 enemies. (No NG+) | 25points |
 | Health Drink Take 50 items. | 5points |
 | Energy Drink Take 100 items. | 5points |
 | First Aid Kit Take 175 items. | 10points |
 | Ampoule Take 300 items. | 25points |
 | Parking Ticket Take 10 notes. | 5points |
 | Child's Drawing Take 25 notes. | 10points |
 | Yellowed Page Take all 50 notes. | 25points |
 | Codebreaker Do the Konami code anytime during a subsequent playthrough. | 5points |
 | Stalker Finish the game using the flashlight for less than 3 hours. | 10points |
 | Fireman Finish the game rescuing Alessa from fire in less than 80 seconds. | 10points |
 | Explorer Finish the game travelling a distance greater than 22.5 km. | 10points |
 | Collector Finish the game collecting more than 300 items. | 10points |
 | Sprinter Finish the game in less than 2 hours. | 25points |
 | Sharpshooter Finish the game killing at least 75% of enemies with firearms. | 10points |
 | Weaponsmith Finish the game killing at least 75% of enemies with melee weapons. | 10points |
 | Brawler Finish the game killing at least 75% of enemies with fists. | 25points |
 | Cartographer Finish the game looking at map less than 25 times. | 10points |
 | Daredevil Finish the game without saving. | 25points |
 | The Lonely Moon Kill 25 enemies using the Moon Gauntlets without returning to the main menu. | 5points |
 | 911 Emergency Kill 25 enemies using the Fire Axe without returning to the main menu. | 5points |
 | Killing Spree Kill 25 enemies using the Great Cleaver without returning to the main menu. | 5points |
