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