Trophies:
Bronze trophies
Papa’s Palace of Pain – Complete ‘Papa’s Palace of Pain’ in Story Mode.
Naked Terror – Complete ‘Naked Terror’ in Story Mode.
Ballistic Trauma – Complete ‘Ballistic Trauma’ in Story Mode.
Carny – Complete ‘Carny’ in Story Mode.
Creeping Flesh – Complete ‘Creeping Flesh’ in Story Mode.
Scream Train – Complete ‘Scream Train’ in Story Mode.
The Fetid Waters – Complete ‘The Fetid Waters’ in Story Mode.
Jailhouse Judgment – Complete ‘Jailhouse Judgment’ in Story Mode.
Overkill – Complete all levels in Story Mode.
Goregasm! – Achieve a Goregasm.
Weak At The Knees – Maintain a Goregasm for 2 minutes.
De-Generation – Collect 10 LPs.
Decom-Poster Child – Collect 15 posters.
Dis-Figurine Collection – Collect 15 figurines.
Graphic Horror – Collect 17 comic book pages.
Boom Headshot! – Decapitate 200 mutants.
Toasty! – Kill 5 or more mutants with one grenade.
Yakuza – Kill 100 mutants ‘Gangster Style’ (holding gun sideways).
Suffer Like G Did – Complete any level with only one health segment remaining.
Hardcore – Complete any level in Director’s Cut without using any continues.
Merchant of Menace – Buy a new weapon.
Fully Loaded – Fully upgrade any weapon.
Power of the Mind – Complete any level with the targeting crosshair off.
I’ll Try Anything Once – Play each minigame through to completion once.
Silver trophies
Lights, Camera, Headshot! – Complete all levels in Director’s Cut.
Caesar’s Salad – Complete all CHALLENGES for ‘Papa’s Palace of Pain’.
Private Dance – Complete all CHALLENGES for ‘Naked Terror’.
Doctors and Nurses – Complete all CHALLENGES for ‘Ballistic Trauma’.
Clown Shoes – Complete all CHALLENGES for ‘Carny’.
Meat Packer – Complete all CHALLENGES for ‘Creeping Flesh’.
Bad Conductor – Complete all CHALLENGES for ‘Scream Train’.
Swamp Monster – Complete all CHALLENGES for ‘The Fetid Waters’.
Jail Bird – Complete all CHALLENGES for ‘Jailhouse Judgment’.
Lab Rat – Complete all CHALLENGES for ‘Overkill’.
Never Runs Dry – Complete a level without triggering an enforced reload (i.e. reaching zero bullets).
Gold trophies
Be My Valentine, Jill – Unlock all unlockables and purchase all weapons.
Perfect Victory – Achieve an S rank for all levels in Story Mode or Director’s Cut.
Do You Feel Lucky? – Complete all levels in Classic Mode without using any continues.
Extreme Hardcore – Complete all Director’s Cut levels in Hardcore Mode.
Platinum trophy
The House of the Dead: Overlord – Earn all Bronze, Silver, and Gold trophies.