Finish 'Mines of Death' on Insane
Finish 'Ghost Town' on Insane
Get killed by a sawblade
Die from spider venom
Finish 'Psycho Cellblock' on Insane
Kill 20 enemies with barrels
Finish 'Hotel Hell' on Insane
Get > 80% accuracy on a level
Finish 'Nightmare Descent' on Insane
Finish 'Haunted Lodge' on Insane
Shoot all the moving ducks in 'Haunted Lodge'
Finish 'Final Inferno'
Finish the story on any difficulty
Get 100 headshots
Finish 'Mines of Death'
Hit three targets with one shot from the Revolver
Finish 'Ghost Town'
Have picked up all weapons
Finish 'Psycho Cellblock'
Blast off 100 limbs
Dual wield Machine Pistols
Dual wield Revolvers
Finish 'Hotel Hell'
Reach multiplier x8
Hit three or more targets with a blast from the shotgun
Finish 'Nightmare Descent'
Dual wield Shotguns
Finish 'Haunted Lodge'
Pick up a new weapon
Reach multiplier x4
Beat a previous set score on a level
Complete a level using only pistols
Complete a level using only one hand
Collect all the skittles
Collect all the skittles in one level
Finish the story on Psychotic
Die from hitting head on a barrier
Finish 'Final Inferno' on Insane
See all the 'Moment of sanity' sequences
Collect all trophies