| Achievement | How to unlock
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| Choked Up (10 points) | First kill with a Gas Mine.
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| Cleaning Up (10 points) | First kill with a Mop Handle.
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| Curb Stomp (10 points) | Stomped first Minion to death.
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| Darwin Would Be Proud (20 points) | Died once.
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| Duress (20 points) | Kill 20 minions.
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| Fire Hazard (10 points) | First kill with fire.
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| Forced Entry (10 points) | Unlocked first door.
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| Give Me Five! (10 points) | First kill with a Mannequin Arm.
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| Grave Digger (10 points) | First kill with a Shovel.
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| Hatchet Job (10 points) | First kill with a Hatchet.
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| Homerun (10 points) | First kill with a Bat.
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| I Can Stop Anytime (20 points) | Used 20 Health Syringes..
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| I'm In Charge (10 points) | Fought first NPC.
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| It Was An Accident (10 points) | Kill first minion.
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| Just Experimenting (10 points) | Used Health Syringe for the first time.
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| Kill Or Be Killed (30 points) | Killed a Collared Minion with a collar detonation.
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| Lights Off (10 points) | First kill with a Table Lamp.
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| Locksmith (20 points) | Unlock 5 locked doors.
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| Merciless (20 points) | Stomped five Minions to death.
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| Penetrated (10 points) | First kill with a Syringe.
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| Pipe Dream (10 points) | First kill with a Pipe.
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| Professional (50 points) | Unlock 20 locked doors.
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| Say Hello To My Little Friend (10 points) | First kill with a Gun.
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| Self-Defense (15 points) | Kill 10 minions.
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| Sometimes It Sticks (10 points) | First kill with a Nail Bat.
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| Splitting Headache (10 points) | First kill with Scissors.
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| Surgeon (10 points) | First kill with a Scalpel.
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| Treasure! (10 points) | Unlock first container.
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| Wait For The Boom (10 points) | First kill with an Explosive Mine.
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| Who Is The Jigsaw Killer? (15 points) | Find your first Patient File.
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| Whoops! (10 points) | First kill with a Stun Mine.
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| Would You Like To Know More? (20 points) | Find your first Asylum File.
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| You'll Need This Afterwards (10 points) | First kill with a Crutch.
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| You've Been Served (10 points) | First kill with a Table Leg.
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| You've Wasted Your Life (5 points) | Idle for five minutes.
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