- Difficulty
- 4/10; nothing above Story and Hinted is needed.
- Time
- 15 to 25 hours.
- Playthroughs
- Two full and three partial, with manual saves for the endings.
- Hardest
- Fleeting Visit — under four hours, which is very lenient.
- Online, glitched, DLC
- None, none, none.
The route
Step 1 — Abandoned, every collectible, no manual saves (about 8 hours)
Follow the collectible walkthrough, kill everything, and skip manual saves after the prompted one for Reject The Help; Story mode's healing makes dying hard, and the autosaves cover the objectives. If you are not saving, leave Long-Range Masonry, Pinpoint Inaccuracy and Pull! for the next run.
Step 2 — New Game+: Justice, every document again, Dog and Sci-fi set up, under four hours (about 3 hours)
Kill as few as possible, recollect every Clue and Document, place the coins and read the books on the way, and skip cutscenes — the timer runs through them.
Step 3 — Reload for Dog, Sci-fi and Forever (about 2 hours)
From the saves at the CEG Tower gate and the SWDP crank, as the How Endings Work page lays out.
Step 4, optional — the speedrun and the no-save run together (about 2 hours)
If either was skipped: objectives only, kill what is in the way, and it is done in under two hours.
The 17 missable trophies
| Trophy | Grade | Why you can miss it |
|---|---|---|
| For St. Amelia | Gold | The Justice ending: fixed by the run's Discoveries and Kills, with no chapter select to change it after. |
| Here To Stay | Gold | The Forever ending: the same, and the narrowest window. |
| Just Making Things Worse | Gold | The Abandoned ending: the same. |
| Let's Talk This Out | Silver | New Game+ only; three coins placed in order across the run. |
| Sci-fi-lent Hill | Silver | New Game+ only; three books, the card, the keypad. |
| Fleeting Visit | Silver | One run under four hours. |
| Cold Calling | Silver | Numbers only connect in their own chapter, as their own character. |
| Observation | Silver | Half the documents; areas close behind you, though progress carries between runs. |
| Thorough Inspection | Gold | All 85 documents; the same. |
| Blur Your Eyes | Silver | 15 postcards, Simon only; kept between runs. |
| Sweeping Signals | Silver | 18 video channels; kept between runs. |
| Future Hardware | Bronze | The Pistol-3000: New Game+ after the Sci-fi ending. |
| Here's Simon! | Bronze | The Axe: New Game+ only. |
| Creative Process | Bronze | Seven weapon kills in a single run. |
| Reject The Help | Gold | One manual save in the whole run. |
| Resourceful | Bronze | Seven containers, seven keys, and the areas close. |
| Save It For The Patients | Silver | No healing items in Chapters 5 and 7. |
Counted across playthroughs
- Every collectible trophy — Cold Calling, Observation, Thorough Inspection, Blur Your Eyes, Sweeping Signals, Resourceful — keeps its progress between runs, though only the postcards are shown as already collected.
- Missing The Point Entirely: kill every Widow you meet in CEG Tower. PowerPyx and EliteGuias count fewer than 30 in one run, GameRant and KosGames just over 30, and two readers got it in one run on Normal (one counted 36); the count carries over, so anything short finishes in New Game+.
- Static Distractions and Lured Off Track: ten radio and twenty bottle distractions over all playthroughs.
- From Scratch: twenty crafted items in total; PowerPyx does not say whether the total spans runs and KeenGamer says progress carries over, so treat it as one run to be safe.
Story trophies by chapter
| Trophy | Part · chapter | Moment |
|---|---|---|
| Welcome To St. Amelia | 1 · Ch. 2 Escape | Leaving the Otherworld for the first time |
| Resignation | 1 · Ch. 4 Searching for Zoe | The scales in the Clinic |
| A Long Night Ahead | 2 · Ch. 5 Zoe Rounds | Entering the Medical Centre as Zoe |
| The Patient | 3 · Ch. 7 Zoe The Patient | The last Surgery puzzle |
| Many Into One | 3 · Ch. 8 Many Into One | The blood-type wheel |
| Key To The Castle | 4 · Ch. 10 Missing Parts | The Strange Gate |
| Find Yourself | 5 · Ch. 13 Richard: Another Attempt | The CEO Access Card |
| Can't Change Things | 6 · Ch. 15 Trying Again | The clamp release |
| Eraser | 6 · Ch. 16 Eraser | The final boss |
| Reliving A Nightmare | New Game+ | The credits of a second run |
Setups worth a save
🍾 Pull!
Straight after taking the pistol: the bottle past the gate beside the Pharmacy, a save inside the Pharmacy, then throw straight up, step forward under it and shoot before it lands.
🧱 Long-Range Masonry
Clara Woods, Chapter 10, right after Richard's call: the brick near the booth, the corpse enemy on the ground, a save at the booth. Stand level with the tiles past the shopping carts by Atlas Computers, aim at the awning light, throw, reload, adjust.
🧨 Pinpoint Inaccuracy
With the Flare Gun and the South Brae key in hand, save at the phone in the Locker building, then shoot the body hanging from the light above the playground from beside the climbing frame; if it dies without the trophy, reload and try again.
☎️ Reject The Help
Make the one prompted save at the start, then never call 100 again. Autosaves fire at objectives; the risk is only while exploring town areas, and Story's healing keeps you alive.
💊 Save It For The Patients
No healing items in Chapter 5 or Chapter 7. On a first run Chapter 5 has no melee weapon, so avoid rather than fight; the Medical Centre has a plank in Chapter 7. In New Game+ the Axe makes both chapters easy.
Cross-checked
Cross-checked on 22 September 2026 against the trophy guide, roadmap and endings guide of PowerPyx, and re-checked on 1 October 2026 against the trophy list and endings route of EliteGuias. Not from a playthrough: nobody here has played it, and what the sources do not describe is not on this page.