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- Estimated trophy difficulty: 4/10 (Personal Estimate) (Platinum Difficulty Rating)
- Offline trophies: 30 (13
, 11
, 5
, 1
)
- Online trophies: 0
- Approximate amount of time to Platinum: 10hrs+ (skill dependent) (Estimated Time to Platinum)
- Minimum number of playthroughs: 2
- Number of missable trophies: 15
- Glitched trophies: Remorse
was unobtainable prior to the release of the 1.03 patch so make sure you have that or a higher update installed before playing.
- Does difficulty affect trophies?: No

The game is focused on puzzles and progression so you will get most of the trophies as you progress through the game; however, if at any point you feel lost and don't know where to go, you can use the video guide in Anxiety


Step 1: Complete the Game with the "Good" Ending and Work on Miscellaneous & Collectibles
At this stage we will focus on beating the game by obtaining the best ending "Adoption" (which will require you to perform an optional in-game sidequest) and getting all the miscellaneous and collectible trophies.
Use this stage to learn the mechanics of the game and give yourself an idea of the enemies and rooms you will encounter, as well as the items you will be obtaining (in short, enjoy this return to survival horror!).
Finally, it is important to mention that, although suggested for learning more about the story, you do not need to obtain all the files in the game, only the 32 related to the 4 sets of diaries. All of them are in plain sight so chances are you will get most (if not all) of them just by playing the game and exploring each room.
At the end of this step you will have earned the following trophies:
Sisters

Serial Killer

Nostalgia

Love

Dedication

Redemption

Suffering

Master Key

Loop

Obsession

Relief

Killer

Death

Journey

Escape

Crucifixion

Registry

Gunsmith

Electricity

Remembrance

Sacrifice

Mind

Suffering

Water

Frustration

Step 2: No Save/No Healing/Speedrun in less than 3 Hours and "Bad" Ending
In this stage we will use everything learned during the first playthrough, to obtain the last trophies, performing a Speedrun in less than 3 hours, without saving, without healing a single time and while getting the "Remorse" ending. While this would seem difficult to achieve during your first playthrough, the game is quite short and the enemies in most cases follow patterns that are very easy to identify. Likewise, there is more than enough ammunition and healing items (morphines and first aid kits) to approach this stage without too much troubles.
At the end of this step you will have earned the following trophies:
Untouchable

Anxiety

Amnesia

Remorse

Step 3: (Optional) No Healing Playthrough
If you chose to leave your non-healing playthrough for this stage, do so now and conclude with your adventure at Wildberger Hospital!
At the end of this step you will have earned the following trophy:
Tormented Souls
