If Thomas plays the four pieces of the Counter Song on the Harmonium
Visit every location and room in the Sker Mansion and grounds
Ring all ground floor bells
Thomas gives Elisabeth the four brass music cylinders
Find all the musical dolls
Find all notes
Play all musical instruments in game
Listen to all Gramophone recordings
Listen to all Speaker Phone messages
Bump into furniture 250 times
Hold your breathe more than 50 times
Pet the Dog
End up coughing 10 times
Interact with the Whale sculpture
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