| Achievement | Points |
|---|---|
 Dissection Defeat the Split Worm on Normal difficulty or higher (New Game only) |
5 |
 Excommunicated Defeat the Missionary on Normal difficulty or higher (New Game only) |
5 |
 Faith No More Defeat Leonard on Normal difficulty or higher (New Game only) |
5 |
 Letting Go Of The Past Defeat the Memory of Alessa on Normal difficulty or higher (New Game only) |
5 |
 Godslayer Defeat the God on Normal difficulty or higher (New Game only) |
10 |
 Troubled Sleep See your nightmare through to the end |
5 |
 Black Friday Find your way out of the Central Square Shopping Center |
5 |
 Train To Nowhere Successfully navigate the Subway |
5 |
 Rise Above It Climb your way out of the Sewers |
5 |
 Quitting Time Find a way out of the Hilltop Center |
5 |
 Discharged Survive your stay in Brookhaven Hospital |
5 |
 Unhappiest Place On Earth Get your fill of thrills at Lakeside Amusement Park |
5 |
 Out Of Nowhere Navigate the maze-like Nowhere realm and face the music |
5 |
 Silence Is Golden Obtain the Silencer |
5 |
 It Was Heather, With The... Obtain the Steel Pipe |
5 |
 A Good Spread Obtain the Shotgun |
5 |
 Heavy Weapons Girl Obtain the Maul |
5 |
 Study The Blade Obtain the Katana |
5 |
 Necessary Force Obtain the Stun Gun |
5 |
 Rat-A-Tat-Tat Obtain the Submachine Gun |
5 |
 Now I Am The Master Obtain the Beam Saber |
10 |
 Chronic And Sustained Cruelty Obtain the Flamethrower |
10 |
 Ammo Cheats: ON Obtain the Unlimited SMG |
10 |
 An Honest Man Obtain the Gold and Silver Pipes |
5 |
 Gentle Push Encounter an unseen assailant... |
5 |
 Self-Reflection Take a moment to think about yourself - the real you - but don't dwell on it... |
5 |
 Birthday Girl Attend your birthday celebration. They even got you a card! |
5 |
 The Path To Heaven Meet Danny |
5 |
 Scavenger Collect over 125 items |
10 |
 Cartographer Collect every map in the game |
5 |
 Free At Last Complete the game on Normal difficulty (New Game only) |
10 |
 Been Through Hell Complete the game on Hard difficulty (New Game only) |
25 |
 Riddle Me This Complete the game on Normal riddle difficulty |
5 |
 Well Read Complete the game on Hard riddle difficulty |
10 |
 Can I Play Too Daddy? Unlock Beginner Mode |
1 |
 Not Hiding Anymore Get the "Normal" ending |
10 |
 Thirst For Blood Get the "Possessed" ending |
10 |
 Close Encounter Get the "Revenge" ending |
10 |
 Clear A Path Cut through 3 Closers with the Katana on Normal difficulty or higher (one session, no reloads) |
10 |
 Mystery Meat Cook 5 Double Heads with the Flamethrower on Normal difficulty or higher (one session, no reloads) |
10 |
 Wanna See A Numb Body? Poke down 5 Numb Bodies with the Knife on Normal difficulty or higher (one session, no reloads) |
10 |
 Whack The Piñata Pop 3 Insane Cancers with the Maul on Normal difficulty or higher (one session, no reloads) |
10 |
 Slurp On This! Strike down 5 Slurpers with the Beam Saber on Normal difficulty or higher (one session, no reloads) |
10 |
 Skeet Shooting Shoot down 3 Pendulums with the Shotgun on Normal difficulty or higher (one session, no reloads) |
10 |
 Junk Fight Condemn 5 Nurses with the Steel Pipe on Normal difficulty or higher (one session, no reloads) |
10 |
 May The Lord Strike Me Down Electrocute 3 Scrapers with the Stun Gun on Normal difficulty or higher (one session, no reloads) |
10 |
 Painfully Goth Kill 15 enemies with the Maul while wearing the God of Thunder costume (one session) |
10 |
 Dress To Impress Equip the Golden Rooster costume, Gold Pipe, and Perfume |
10 |
 Right Wrongs And Triumph Over Evil Transform into Princess Heart |
10 |
 Rambo Style Kill 5 enemies in 25 seconds (timer starts after first enemy dies, progress resets 25 secs later) |
25 |
 Outsquirm The Worm Defeat the Split Worm without taking damage on Normal difficulty or higher (New Game only) |
25 |
 Mission Impossible Defeat the Missionary without taking damage on Normal difficulty or higher (New Game only) |
25 |
 Thumped Defeat Leonard without taking damage on Normal difficulty or higher (New Game only) |
25 |
 Self-Denial Defeat the Memory of Alessa without taking damage on Normal difficulty or higher (New Game only) |
25 |
 Atheist Defeat the God without taking damage on Normal difficulty or higher (New Game only) |
25 |
 What The Hell Was That? Defeat the Split Worm in under 2 minutes on Normal difficulty or higher (New Game only) |
10 |
 I'll Get You For This Defeat the Missionary in under 2 minutes on Normal difficulty or higher (New Game only) |
10 |
 You're Not A Person Defeat Leonard in under 3 minutes on Normal difficulty or higher (New Game only) |
10 |
 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) |
10 |
 Looks Like God Didn't Make It Defeat the God in 8 minutes or less on Normal difficulty or higher (New Game only) |
10 |
 The One On Who We Can Depend Defeat the God using the Sexy Beam on Normal difficulty or higher |
10 |
 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) |
10 |
 Pacifist Complete the game, killing no more than 10 enemies (including bosses) on Normal difficulty or higher (New Game only) |
10 |
 Can't Touch This Complete the game, taking less than 500 damage on Normal difficulty or higher (New Game only) |
10 |
 I Know The Way Complete the game in 3 hours or less on Normal difficulty or higher (New Game only) |
10 |
 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) |
50 |