Bronze Attention Spam TrophyGet every type of Pain (Groin, Head, Arm, Hand, Leg, Foot and Body) combo in 'Paindemonium', 'Aftermath', 'Block Party', 'Demolition'.
Bronze Blockbuster TrophyUse a tank to blow up the Castle Tower.
Bronze Camera Boom TrophyHit 50 Cameras with Explosions.
Bronze Combo Mambo TrophyGet 15x Combo in 'Paindemonium', 'Aftermath', 'Block Party', 'Demolition'.
Bronze Constipated TrophyGet 100 Strikes in 'Bowling'.
Bronze D-Town Destruction TrophyGet 2,000,000 score in 'Paindemonium' and 'Aftermath'.
Bronze Dude Abides TrophyUse The Dude to score 30 Strikes in 'Bowling'.
Bronze Everyone's a Winner TrophyGet a negative distance on the Anvil Toss in 'Painalympics'.
Bronze Glass Lass TrophyBreak 500 panes of glass with any female launchable in 'Mime Toss'.
Bronze Glutton TrophyMake 30 Eat It! Shots in 'Call the Shot'.
Bronze Grenade-a-Maid TrophyGet Exploded 200 times with any female launchable add-on character.
Bronze Helmet PI TrophyGive the Gladiator a ride in the Sports Car.
Bronze Horsin' a Clown TrophyTake the Clown for a ride on the Roller Coaster.
Bronze Pain and Mane TrophyPlay 100 Games of 'Trauma' or 'Horse'.
Bronze Pain in the Park TrophyGet 2,000,000 score in 'Abusement' and 'After Hours'.
Bronze It's Full Of Cars TrophySend the black sedan through the portal in PROBE
Silver 2 Mill Club TrophyGet 'Pain in the Park' and 'D-Town Destruction'.
Silver Buzzmonkey TrophyScore 60 Monkeys in 'Spank the Monkey Painful' with Buzz.
Silver Harder Dick's Balls TrophyGet ALL of Dicks Balls in the Block Party Dumpster without reset.
Silver Ninja PWN TrophyHit the target stuffed Ninja in every Amusement Park mode.
Silver Rodeo Clown TrophyUse Ed to Explode 500 barrels in 'Clown Toss'.
Silver Trill TrophyGet 'Painful Bullseye' Trophy with Scurv Dogg or Hung Lo add-on characters
Gold Affliction Addiction TrophyGet One 100 Million Points in 'Downtown'.
Gold Gettin' Hoff TrophyUse Tuxedo Hoff to get 69 million in any Paindemonium mode.
Gold Sore Spotting TrophyFind and hit the alien artifact in both 'Pain Reunion' and 'Sports Day' and the sports trophy in both 'Probe' and 'Afterglow'.