| Platinum | Pure Evil | Unlocked all trophies for PsychoBreak. | 1.6% Ultra Rare | 302 pts |
| Gold | It Is What It Is | Finish the game without upgrading any skills with green gel. | 2% Ultra Rare | 132 pts |
| Gold | You Asked For It | Finish the game on 悪夢(AKUMU) mode. | 2.1% Ultra Rare | 128 pts |
| Gold | The Quick and the Dead | Finish the game with a clear time of under 5:00:00. | 2.3% Ultra Rare | 121 pts |
| Silver | Master of Horror | Complete the game on Nightmare difficulty. | 3% Ultra Rare | 78 pts |
| Bronze | Not a Scratch on Her! | I'm not taking any chances, this bus can't take much more damage. (Ch. 12) | 3.5% Ultra Rare | 47 pts |
| Silver | Every Nook and Cranny | Collect every collectable in the game. | 3.6% Ultra Rare | 70 pts |
| Bronze | Master of Unlocking | Open up all the lockers in the save room. | 3.9% Ultra Rare | 44 pts |
| Bronze | Item Management | This cave echoes like crazy. Better put the gun away and keep quiet. (Ch. 8) | 4.2% Ultra Rare | 42 pts |
| Silver | Blow Up the Playing Field | Use a secret explosive weapon to kill 10 enemies. (Agony Bolt effects negate results) | 4.8% Ultra Rare | 59 pts |
| Bronze | À la Corvo | Have they lost their minds? Better get past them without a fight. (Ch.2) | 4.8% Ultra Rare | 39 pts |
| Bronze | Full House | Kill 5 enemies with each type of Agony Bolt. | 4.9% Ultra Rare | 39 pts |
| Gold | Unstoppable Arsenal | Completely upgrade all weapons. | 5.5% Very Rare | 72 pts |
| Silver | Not Part of the Job Description | The water's rising, but we'll get out of this without a scratch. (Ch. 5) | 6.4% Very Rare | 49 pts |
| Bronze | The Power of Three | Completely upgrade three weapons. | 7.4% Very Rare | 30 pts |
| Silver | Knife Beats Chainsaw | His engine roars, but my knife is strong enough to take him out. (Ch.3) | 7.5% Very Rare | 45 pts |
| Bronze | Why Can't I Hold All This Ammo? | Upgrade all options in the Stock menu. | 9.2% Very Rare | 26 pts |
| Silver | Bathed in Flames | Enough running! I'll burn her to the ground right here! (Ch. 10) | 9.4% Very Rare | 39 pts |
| Silver | Hardbody | Fully upgrade all of Sebastian's attributes. | 9.5% Very Rare | 39 pts |
| Bronze | I Don't Have Time for This! | It won't stay dead! Better only fight when I have to. (Ch. 7) | 13.8% Rare | 21 pts |
| Bronze | My Best Friend | Completely upgrade one weapon. | 14% Rare | 21 pts |
| Bronze | Everybody Gets One | Who wouldn't reach out for a man clinging for his life? (Ch. 6) | 17.2% Rare | 18 pts |
| Silver | One Man Army | Kill 400 enemies. | 17.3% Rare | 27 pts |
| Silver | Another Day on the Job | Complete the game on Survival difficulty. | 17.5% Rare | 27 pts |
| Bronze | Silent Kill | Kill 5 enemies in a row with a sneak kill without being discovered. | 17.7% Rare | 18 pts |
| Bronze | Ammo Conservationist | Kill 25 enemies with melee attacks. | 19% Rare | 17 pts |
| Bronze | Bloody Bar Brawl | Sneak Kill an enemy after hitting them with a bottle. | 20.3% Uncommon | 16 pts |
| Bronze | Entry Level Electrician | I should get this whole generator panel running just in case. (Ch. 14) | 29.5% Uncommon | 13 pts |
| Bronze | First Step into Darkness | Complete the game on Casual difficulty. | 30.4% Uncommon | 13 pts |
| Bronze | One of the Many | Defeat the ultimate evil within. | 30.5% Uncommon | 13 pts |
| Bronze | Slither into Oblivion | Remove an invisible enemy from the equation. | 31.4% Uncommon | 13 pts |
| Bronze | Arachnophobia | Outrun a gigantic threat in the city. | 33% Uncommon | 12 pts |
| Bronze | The First, Not the Last | End a monstrosity in the underground garage. | 34.9% Uncommon | 12 pts |
| Bronze | Krimson PD Fury | Kill 200 enemies. | 35.1% Uncommon | 12 pts |
| Bronze | Burn, Baby, Burn! | Kill 5 enemies with a torch. | 35.3% Uncommon | 12 pts |
| Bronze | Drop It Like It's Hot | Kill 3 living enemies with one drop of a match. | 37.3% Uncommon | 11 pts |
| Bronze | What's In The Box?! | Escape the Keeper beneath the catacombs. | 41.7% Common | 11 pts |
| Bronze | Two on Two | Take out both guardians before the church. | 45% Common | 10 pts |
| Bronze | Home is Where the Hospice is | That vision in the hospice... why here? Why now? (Ch. 4) | 46.4% Common | 10 pts |
| Bronze | Old Flame | Finish off a shrieking beast. | 48.3% Common | 10 pts |
| Bronze | ...And the Corpses Mount | Kill 30 enemies. | 54.6% Common | 9 pts |
| Bronze | Weapon of Choice | Defeat the Sadist within the village. | 57% Common | 9 pts |