Welcome to this comprehensive walkthrough—or more accurately, a deep-dive explanation—of achievements in The Outlast Trials. These aren’t your traditional story-based milestones. Instead, what you’ll find here are badge-based challenges, tightly integrated with the game itself. Unlike many games, there’s no requirement to complete levels on harder difficulties or finish the campaign. Every achievement is cumulative, meaning you can chip away at them over time while playing naturally—or strategically farm them if you’re gunning for 100% completion.

Understanding the System: Badges, Not Trophies

Outlast Trials’ achievements function as a series of badges—27 or 28 in total, depending on your platform—that track your behavior, decisions, and repetitions across trials. There’s no hidden trickery; the game tracks your progress cleanly, and you can monitor everything through the in-game menu.

Once you’ve completed the tutorial, your focus will shift to two main areas: prescriptions and rigs. Prescriptions are essentially perks or abilities, while rigs function like deployable tools. Each plays a part in helping you progress and, crucially, in unlocking some achievements.

The slide ability, found under prescriptions, deserves special mention: it’s tied to one of the badges, making it a priority to unlock. As for rigs, there’s no need to commit to one type—achievements are tied to usage, not specific rig classes. You’ll find cumulative counters for deploying, recharging, and making the most of them.

Badge-by-Badge Breakdown

Let’s break down every badge in order:

1. Big Saver: Collect documents. Look for blue folders tagged “confidential.” They spawn randomly but are visually distinct.
2. Slid of Hand: Unlock containers using lockpicks. These show up with a timed puzzle.
3. Mechanophilia: Use rigs 100 times. With regular play, this should unlock naturally.
4. Together We Are Strong: Perform 50 co-op actions. Think dual-pushes or team-assisted breaks. Matchmaking helps, but be prepared for randomness in team quality.
5. Crowd Control: Kick 50 enemies off your co-op partner. Look for chances to save them mid-grab or distraction.
6. Hyper Condra: Use 200 medical items. Vials come in two sizes—medium and large.
7. S-Bones: Revive downed co-op partners. Only full revives seem to count.
8. Speed Freak: Use 50 adrenaline syringes. These are usable any time, no health restrictions.
9. Breathe In: Use 100 antidotes to recover psych levels (green bar).
10. Power Surge: Use 100 batteries for night vision. You’ll burn through them quickly, so this comes easily.
11. Bullseye: Land throwable headshots.
12. Major League Player: Hit enemies with any throwable.
13. Bamboozler: Distract enemies using throwables. No contact needed—just lure their attention.
14. Chicken in a Pot: Use hiding spots frequently. You can’t spam the same one in a single trial, but across multiple, it adds up.
15. Disarming: Disable door traps—look for electric or spiked setups. Approach from the other side to interact and disarm.
16. Anger Issues: Break 50 locked doors. Farm this by locking doors manually, then breaking them from the other side.
17. Gluten for Therapy: Complete 25 trials.
18. Toastmaster: Use rig rechargers.
19. Tap Lucidum: Stay in full psychosis for an hour total.
20. Vision Quest: Use night vision for a full hour.
21. Get Down: Be knocked over repeatedly. The fastest method? Get hit while hiding.
22. Hemophiliac: Lose 10,000 health. Let inmates beat you up, then recover.
23. Hoarder: Collect 1,000 items. Anything shiny counts.
24. Slip and Slider: Slide for 120 seconds in total.
25. Marathoner: Sprint for an extended duration.
26. Hunchback: Crouch your way around for long enough.
27. Can’t Touch This: Complete 10 challenges without taking damage. This is arguably the hardest—requires pristine runs.

Farming Strategies and Efficiency Tips

Let’s talk farming. For some of the simpler cumulative achievements like “Slip and Slider,” the slide ability is key. You don’t even need to finish a trial for it to count—start a trial, perform the needed action, then exit. It will still track your progress.

The knockdown badge is particularly easy to farm. Inmates can knock you down from hiding spots; find one who repeatedly seeks out the same hiding area and let them topple you over and over. You could earn the entire achievement in under an hour with persistence.

Throwables? Stick with bricks. Unlike bottles, bricks can often be reused. They also count toward both impact and distraction-based achievements.

For health loss, just take damage. Any enemy will do, but the trick is healing effectively afterward. Use the health rig (a healing cloud emitter) to recover in between damage.

If you’re after psychosis-related badges, look no further than the Orphanage mission. One enemy there emits psychosis gas—just stand in the fog, let yourself go mad, then recover and repeat. Simple, if not exactly pleasant.

Choosing the Right Trials

Each of the four core programs (trial groups) features unique environments and item placements. The objectives stay consistent, but item locations, trap placements, and even doors will randomize slightly every time. Still, once you learn a map, you’ll get a feel for efficient routes.

Personally, I found the Orphanage to be the best for cumulative farming. It’s dense with throwables, antidotes, hiding spots, and more. But your mileage may vary. Try all four to see which suits your playstyle.

Final Thoughts: The Road to 100%

All told, expect a completion time of roughly 25–30 hours. If you’re playing solo, your progress may be a bit slower due to matchmaking inconsistencies. But with a solid co-op team—or just patience—you can clean up most of these naturally.

And remember: you don’t need to finish a trial for progress to count. Slide, sprint, crouch, toss a brick, then bail—it all registers.

So whether you’re here for the horror, the co-op chaos, or just that sweet 100%, this guide should give you everything you need to navigate the madness. Good luck, inmate—and stay out of the dark.