Bronze Ballistic TraumaComplete 'Ballistic Trauma' in Story Mode
Bronze Boom Headshot!Decapitate 200 mutants
Bronze CarnyComplete 'Carny' in Story Mode
Bronze Creeping FleshComplete 'Creeping Flesh' in Story Mode
Bronze De-GenerationCollect 10 LPs
Bronze Decom-Poster ChildCollect 15 posters
Bronze Dis-Figurine CollectionCollect 15 figurines
Bronze Fully LoadedFully upgrade any weapon
Bronze Goregasm!Achieve a Goregasm
Bronze Graphic HorrorCollect 17 comic book pages
Bronze HardcoreComplete any level in Director's Cut without using any continues
Bronze I'll Try Anything OncePlay each minigame through to completion once
Bronze Jailhouse JudgmentComplete 'Jailhouse Judgment' in Story Mode
Bronze Merchant of MenaceBuy a new weapon
Bronze Naked TerrorComplete 'Naked Terror' in Story Mode
Bronze OverkillComplete all levels in Story Mode
Bronze Papa's Palace of PainComplete 'Papa's Palace of Pain' in Story Mode
Bronze Power of the MindComplete any level with the targeting crosshair off
Bronze Scream TrainComplete 'Scream Train' in Story Mode
Bronze Suffer Like G DidComplete any level with only one health segment remaining
Bronze The Fetid WatersComplete 'The Fetid Waters' in Story Mode
Bronze Toasty!Kill 5 or more mutants with one grenade
Bronze Weak At The KneesMaintain a Goregasm for 2 minutes
Bronze YakuzaKill 100 mutants 'Gangster Style' (holding gun sideways)
Silver Bad ConductorComplete all CHALLENGES for 'Scream Train'
Silver Caesar's SaladComplete all CHALLENGES for 'Papa's Palace of Pain'
Silver Clown ShoesComplete all CHALLENGES for 'Carny'
Silver Doctors and NursesComplete all CHALLENGES for 'Ballistic Trauma'
Silver Jail BirdComplete all CHALLENGES for 'Jailhouse Judgment'
Silver Lab RatComplete all CHALLENGES for 'Overkill'
Silver Lights, Camera, Headshot!Complete all levels in Director's Cut
Silver Meat PackerComplete all CHALLENGES for 'Creeping Flesh'
Silver Never Runs DryComplete a level without triggering an enforced reload (i.e. reaching zero bullets)
Silver Private DanceComplete all CHALLENGES for 'Naked Terror'
Silver Swamp MonsterComplete all CHALLENGES for 'The Fetid Waters'
Gold Be My Valentine, JillUnlock all unlockables and purchase all weapons
Gold Do You Feel Lucky?Complete all levels in Classic Mode without using any continues
Gold Extreme HardcoreComplete all Director's Cut levels in Hardcore Mode
Gold Perfect VictoryAchieve an S rank for all levels in Story Mode or Director's Cut
Platinum The House of the Dead: OverlordUnlock all trophies