Complete the following achievements to unlock Microsoft Gamerscore points.
| Achievement | How to unlock | Points
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| - Reach Brookhaven Hospital.
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| - Discover the secret of Room 106.
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| - Survive the chase in Brookhaven Hospital.
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| - Collect all memos in a single playthrough.
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| - Finish the game without killing enemies using ranged weapons.
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| - Kill seventy-five enemies with melee weapons.
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| - Reach the "Rebirth" ending.
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| - Witness all glimpses of the past in a single playthrough.
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| - Finish the game in under ten hours.
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| - Reach the Lakeview Hotel.
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| - Complete New Game Plus on any difficulty.
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| - Reach the end of the long staircase.
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| - Kill at least one enemy with every weapon in a single playthrough (not including New Game+ weapons)
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| - Find the pizza in Pete's Bowl-O-Rama.
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| - Shoot all the balloons in Wood Side Apartments.
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| - Reach the "Leave" ending.
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| - Finish off fifty enemies with a stomp attack.
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| - Reach Wood Side Apartments.
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| - Kill seventy-five enemies with ranged weapons.
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| - Try to leave Silent Hill in the Observation Deck area.
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| - Destroy what you don't need.
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| - Reach the "In Water" ending.
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| - Enter the Otherworld for the first time.
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| - See all classic endings (Leave, Maria, In Water, Rebirth, Dog).
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| - Make your way out of Blue Creek Apartments.
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| - Collect all the Strange Photos in a single playthrough.
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| - Complete the game without using the radio.
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| - Spend ten minutes out on Toluca Lake.
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| - Defeat the Abstract Daddy.
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| - Reach the "Maria" ending.
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| - Try to open locked doors fifty times.
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