Ballistic Trauma (Bronze)
Objective: Complete 'Ballistic Trauma' in Story Mode
Boom Headshot! (Bronze)
Objective: Decapitate 200 mutants
Carny (Bronze)
Objective: Complete 'Carny' in Story Mode
Creeping Flesh (Bronze)
Objective: Complete 'Creeping Flesh' in Story Mode
De-Generation (Bronze)
Objective: Collect 10 LPs
Decom-Poster Child (Bronze)
Objective: Collect 15 posters
Dis-Figurine Collection (Bronze)
Objective: Collect 15 figurines
Fully Loaded (Bronze)
Objective: Fully upgrade any weapon
Goregasm! (Bronze)
Objective: Achieve a Goregasm
Graphic Horror (Bronze)
Objective: Collect 17 comic book pages
Hardcore (Bronze)
Objective: Complete any level in Director's Cut without using any continues
I'll Try Anything Once (Bronze)
Objective: Play each minigame through to completion once
Jailhouse Judgment (Bronze)
Objective: Complete 'Jailhouse Judgment' in Story Mode
Merchant of Menace (Bronze)
Objective: Buy a new weapon
Naked Terror (Bronze)
Objective: Complete 'Naked Terror' in Story Mode
Overkill (Bronze)
Objective: Complete all levels in Story Mode
Papa's Palace of Pain (Bronze)
Objective: Complete 'Papa's Palace of Pain' in Story Mode
Power of the Mind (Bronze)
Objective: Complete any level with the targeting crosshair off
Scream Train (Bronze)
Objective: Complete 'Scream Train' in Story Mode
Suffer Like G Did (Bronze)
Objective: Complete any level with only one health segment remaining
The Fetid Waters (Bronze)
Objective: Complete 'The Fetid Waters' in Story Mode
Toasty! (Bronze)
Objective: Kill 5 or more mutants with one grenade
Weak At The Knees (Bronze)
Objective: Maintain a Goregasm for 2 minutes
Yakuza (Bronze)
Objective: Kill 100 mutants 'Gangster Style' (holding gun sideways)
Bad Conductor (Silver)
Objective: Complete all CHALLENGES for 'Scream Train'
Caesar's Salad (Silver)
Objective: Complete all CHALLENGES for 'Papa's Palace of Pain'
Clown Shoes (Silver)
Objective: Complete all CHALLENGES for 'Carny'
Doctors and Nurses (Silver)
Objective: Complete all CHALLENGES for 'Ballistic Trauma'
Jail Bird (Silver)
Objective: Complete all CHALLENGES for 'Jailhouse Judgment'
Lab Rat (Silver)
Objective: Complete all CHALLENGES for 'Overkill'
Lights, Camera, Headshot! (Silver)
Objective: Complete all levels in Director's Cut
Meat Packer (Silver)
Objective: Complete all CHALLENGES for 'Creeping Flesh'
Never Runs Dry (Silver)
Objective: Complete a level without triggering an enforced reload (i.e. reaching zero bullets)
Private Dance (Silver)
Objective: Complete all CHALLENGES for 'Naked Terror'
Swamp Monster (Silver)
Objective: Complete all CHALLENGES for 'The Fetid Waters'
Be My Valentine, Jill (Gold)
Objective: Unlock all unlockables and purchase all weapons
Do You Feel Lucky? (Gold)
Objective: Complete all levels in Classic Mode without using any continues
Extreme Hardcore (Gold)
Objective: Complete all Director's Cut levels in Hardcore Mode
Perfect Victory (Gold)
Objective: Achieve an S rank for all levels in Story Mode or Director's Cut
The House of the Dead: Overlord (Platinum)
Objective: Unlock all trophies