| Achievement | How to unlock
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|---|
| Anvil Horror (15 points) | Get three S-ranks in Survival Arena mode.
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| Army of Dead Evil (5 points) | Kill 6 enemies within one second.
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| Audiophile (5 points) | Listen to all of Dr. West's gramophone records.
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| Bad Taste (5 points) | Impale an enemy on a spike.
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| Barrels of Blood (5 points) | Get 2000 or more BLOOD Points in one chain of attacks.
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| Be Garbage of Cesspool (20 points) | Complete Phase 4: The Meat Factory.
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| Blood Lust (25 points) | Unlock 25 skills.
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| Blood and Lightning (5 points) | Splat 100 enemies on a wall with a weapon.
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| Boreworm Massacre (10 points) | Stomp on 1000 Boreworms.
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| Brain Dead (5 points) | Tackle an enemy and pummel it 20 times.
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| Bride of the Corrupted (100 points) | Complete the game on any difficulty.
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| Call of the Thule (10 points) | Unlock 5% of Dr. West's journal.
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| Creepy Show (10 points) | Re-assemble 8 of Jen's photos.
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| Dead on the Rise (5 points) | Accomplish 5 Secret Missions in a single Survival Arena attempt.
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| Death Came Ripping (5 points) | Kill an enemy with a Splatter Slash.
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| Downpour of Blood (5 points) | Get 100 kills with Splatter Smash.
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| Dreams of the Dead (120 points) | Complete the game on "Brutal" Difficulty.
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| Experiment 765 (30 points) | Complete Phase 6: Beast with a Human Heart.
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| Flesh Re-animation! (5 points) | Regenerate with Splatter Siphon.
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| Happy Ending? (20 points) | Re-assemble all of Jen's photos.
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| Head on Arrival (10 points) | Get 50 kills with enemy heads.
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| Headlong into Monsters (5 points) | Kill 6 enemies in one ram attack.
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| Heavy Frikkin' Metal! (5 points) | Get 50 kills with non-fleshy weapons.
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| Hunger Pangs (5 points) | Purchase a skill.
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| I Walk with Death (110 points) | Complete the game on "Savage" difficulty (or harder).
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| Jason Schmason (50 points) | Get six S-ranks in Survival Arena mode.
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| Jen Smells of Rot...of the Grave (5 points) | Re-assemble one of Jen's sexy photos.
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| Killer of Killers (5 points) | Get an S-rank in Survival Arena mode.
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| Lovecraft Baby (20 points) | Unlock 50% of Dr. West's journal.
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| Lust for After Life (50 points) | Unlock all skills.
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| Morbid Dismemberment (5 points) | Kill an enemy with your own dismembered arm.
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| Must Kill (5 points) | Kill an enemy with Splatter Smash.
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| Nightmare in Arkham (20 points) | Unlock 25% of Dr. West's journal.
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| None More Dead (10 points) | Get 150 kills with enemy arms.
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| One Who Slays (5 points) | Get 300 kills in Berserker Mode.
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| POW! (5 points) | Launch an enemy straight up with "No Head Room".
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| Pyre for the Damned (50 points) | Complete Phase 10: The Wicker Bride.
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| Razor of Hell (5 points) | Get 100 kills with Splatter Slash.
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| See you at the Party (5 points) | Kill an enemy with an enemy's arm.
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| Shattered Narcissus (40 points) | Complete Phase 8: Reflections in Blood.
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| South of Hell (5 points) | Perform 75 Splatterkills.
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| The Berserker (10 points) | Complete Phase 2: The Doll that Bled.
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| The Blackest of Sundays (10 points) | Splat 200 enemies on a wall with a weapon.
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| The Business of Killing (5 points) | Perform a Splatterkill.
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| The House that West Built (100 points) | Unlock all pages of Dr. West's journal.
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| Tongue in Cheek (5 points) | Kill an enemy with an enemy's head.
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| Too much Horror business (10 points) | Accomplish all 10 Secret Missions in a single Survival Arena attempt.
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| Triumph of Iron (15 points) | Get 500 kills with non-fleshy weapons.
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| Vigorous Vengeance (10 points) | Perform 150 Splatterkills.
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| You Got Red on You (5 points) | Splat an enemy on a wall with a weapon.
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