Thomas gives Elisabeth the four brass music cylinders
Bump into furniture 250 times
If Thomas plays the four pieces of the Counter Song on the Harmonium
Find all the musical dolls
Visit every location and room in the Sker Mansion and grounds
Find all notes
Play all musical instruments in game
Listen to all Gramophone recordings
Listen to all Speaker Phone messages
Pet the Dog
Interact with the Whale sculpture
Hold your breathe more than 50 times
End up coughing 10 times
Ring all ground floor bells
Ignore Elisabeth's calls
Don't use the Phonic Modulator
Complete the game on hard setting
Complete the game saving one time or less
Don't get hit by the enemies at all in the game
Use all Phonic Modulator charges