Complete the game
Complete the Showdown in the Abyss location
Defeat Doctor Gorberg
Chop the head of the prisoner
Complete the Chamber of Bones location
Solve the discs puzzle
Complete the Descent into Insanity location
Complete the A Will to Survive location
Fill the chalice with blood
Solve the specimen jars puzzle
Complete the Adrenochrome Abyss location
Solve the piano puzzle.
Defeat the Crazy Clown
Complete the Monstrous Mindscape location
Execute the prisoner on the electric chair
Defeat the Kitchen Lady
Complete the Sanctum of Madness location.
Solve the candles puzzle
Complete the Awakening location.
Slice the prisoner with automatic saws