Difficulty & Challenge Runs

What it asks

Complete the entire main story on Insanity — the hardest difficulty, with tougher, more aggressive enemies, scarcer resources and limited saves.

How to earn it

1. Insanity typically unlocks after your first completion — clear the game once, then start a fresh Insanity playthrough.
2. Play slowly and deliberately: conserve ammo, use the blood collector aggressively to stay stocked, and avoid fights you can run past.
3. Save often at typewriters and keep a healthy herb/injector reserve — on Insanity, one mistake can end a run.

Pro tips

• Carry the strongest upgraded weapons from earlier runs if New Game carry-over is available.
• Learn enemy placements from your earlier playthroughs so Insanity's ambushes don't catch you cold.

What it asks

Complete a full playthrough without ever using a herb or a med injector to heal. You can still take damage — you just can't heal with those items.

How to earn it

1. Run this on the lowest difficulty available to minimise incoming damage.
2. Play defensively: parry, dodge and avoid fights. Let the auto-regenerating portion of health (if any) and careful play carry you.
3. It only tracks using healing items — picking them up is fine.

What it asks

Complete the story without ever using Grace's blood collector. The collector is her core tool, so you'll rely on found ammo and items instead.

How to earn it

1. Never deploy the blood collector while playing as Grace.
2. Lean on conventional ammo, the supply box and found resources.
3. The returning hero's chapters don't use the collector, so this restriction only really constrains Grace's sections.

What it asks

Reach the Release Elpis ending with your in-game timer under four hours. The timer counts active play, not real time.

How to earn it

1. Use a known route — ideally your second-or-later run when you know the map and puzzles.
2. Skip optional fights and collectibles; run past enemies wherever safe.
3. Pausing/menus don't add to the timer, so plan inventory and routes during pauses.

Pro tips

• Do this run after you've already beaten the game once, so the route and puzzle solutions are second nature.

What it asks

Complete the story on Standard (Classic) — the more authentic, less-forgiving tuning — or any higher difficulty.

How to earn it

1. Any completion on Standard (Classic), Hard or Insanity counts.
2. Your Insanity run satisfies this automatically.
3. Difficulty trophies stack downward — clearing Insanity covers every lower tier too.

What it asks

Complete the story on Standard (Modern) — the recommended default — or higher.

How to earn it

1. Any completion on Standard (Modern) or above counts.
2. Earned naturally on your first proper playthrough.

What it asks

Complete the story on Casual difficulty or any higher tier — the easiest completion trophy.

How to earn it

1. Any story completion at all earns this.
2. Your stacked easy run (Speed Demon etc.) covers it.