First kill with a Table Lamp.
First kill with a Bat.
First kill with a Mop Handle.
First kill with a Mannequin Arm.
Killed a Collared Minion with a collar detonation.
Release Amanda from her Trap.
First kill with a Crutch.
First kill with a Scalpel.
Unlocked first door.
Used Health Syringe for the first time.
Find your first Patient File.
First kill with a Pipe.
Kill first minion.
Fought first NPC.
Unlock first container.
Find your first Asylum File.
First encounter with Pighead.
Idle for five minutes.
Complete Reverse Bear Trap.
Died once.
Acquired all trophies.
Release Jennings from his Trap.
Release Melissa from her Trap.
Release Oswald from his Trap.
Release Obi from his Trap.
Release Jeff from his Trap.
Kill the Pighead.
Complete game using Freedom Door.
Complete game using Truth Door.
Kill 10 minions.
Kill 20 minions.
Used 20 Health Syringes.
First kill with a Nail Bat.
First kill with a Syringe.
First kill with a Table Leg.
First kill with a Shovel.
First kill with a Hatchet.
First kill with fire.
First kill with Scissors.
First kill with a Gun.
First kill with an Explosive Mine.
First kill with a Stun Mine.
First kill with a Gas Mine.
Stomped first Minion to death.
Stomped five Minions to death.
Unlock 5 locked doors.
Unlock 20 locked doors.