10 Choked UpFirst kill with a Gas Mine.
10 Cleaning UpFirst kill with a Mop Handle.
10 Curb StompStomped first Minion to death.
10 Fire HazardFirst kill with fire
10 Forced EntryUnlocked first door.
10 Give Me Five!First kill with a Mannequin Arm.
10 Grave DiggerFirst kill with a Shovel.
10 Hatchet JobFirst kill with a Hatchet.
10 HomerunFirst kill with a Bat.
10 I'm In ChargeFought first NPC.
10 It Was An AccidentKill first minion.
10 Just ExperimentingUsed Health Syringe for the first time
10 Lights OffFirst kill with a Table Lamp.
10 PenetratedFirst kill with a Syringe.
10 Pipe DreamFirst kill with a Pipe.
10 Say Hello To My Little FriendFirst kill with a Gun.
10 Sometimes It SticksFirst kill with a Nail Bat.
10 Splitting HeadacheFirst kill with Scissors.
10 SurgeonFirst kill with a Scalpel.
10 Treasure!Unlock first container.
10 Wait For The BoomFirst kill with an Explosive Mine.
10 Whoops!First kill with a Stun Mine.
10 You'll Need This AfterwardsFirst kill with a Crutch.
10 You've Been ServedFirst kill with a Table Leg.
100 Cost of the TruthComplete Game using Truth Door
100 Never Truly FreeComplete game using Freedom Door.
15 Self-DefenseKill 10 minions.
15 Who Is The Jigsaw Killer?Find your first Patient File.
20 Darwin Would Be ProudDied once.
20 DuressKill 20 minions.
20 I Can Stop AnytimeUsed 20 Health Syringes.
20 LocksmithUnlock 5 locked doors.
20 MercilessStomped five Minions to death.
20 Would You Like To Know More?Find your first Asylum File.
30 Kill Or Be KilledKilled a Collared Minion with a collar detonation.
40 Absent ParentRelease Melissa from her Trap
40 AphasiaRelease Oswald from his Trap
40 Born VictimRelease Jeff from his Trap
40 Damaged GoodsRelease Amanda from her trap
40 Eager StudentRelease Obi from his Trap
40 Hit And RunRelease Jennings from his Trap
40 It's A Trap!Complete Reverse Bear Trap
40 Violence Begets ViolenceKill the Pighead
5 You've Wasted Your LifeIdle for five minutes.
5 What Was That?!?!First encounter with Pighead.
50 ProfessionalUnlock 20 locked doors.