Start a new game and select the Scholar's Mate difficulty if you want to get all trophies/achievements in one playthrough. After the cutscene, when you can control your character, turn around and look through the right window. Take the "Punishment Chamber, Second Floor" key. Turn around again and exit the cell. On the bench across from the cell is a flashlight. Pick it up. Turn around again and go downstairs next to the cell you just escaped from. At the bottom, turn left and go under the stairs. Open the right locker and take the water faucet. Now open the locker with the poster by entering the code 4503. Take the fuse. Turn around and walk on the right side. Go past the ringing phone and turn right in front of the stairs. You will find another set of lockers. Open the middle locker labeled "Robert Hill" and take the book "Mammals". Now open the locker labeled Fuck You by entering the code 1957. Take the key to the reception (front desk). Turn around, go left and answer the phone to get an Achievement. Open the door next to the phone to get another achievement. Open the middle locker and take the fuse. Turn left and take the restroom key from the wall.
Leave the front desk and turn left. Go through the stairs and open the restroom with the newly found key. Interact with the back right pipe behind the toilet and install the water faucet. After that, interact with it once. The protagonist should tell you that the faucet is now open. Exit the restroom, turn left and open the door with the red lamp on top. Go down and interact with the fuse box on the wall. Install all three fuses. If you placed the fuse somewhere else, just take it from there.
Go up the stairs again to see the cutscene. From now on you will be chased by a maniac. After the cutscene, a new achievement will be unlocked. Run forward. Ignore the stairs on the right, run past the reception desk and up the stairs behind it. At the top, immediately turn left, run forward and go down again. Quickly go through the door on the left and go down below (where the fuse box was repaired). Just after the fuse block, find another water faucet. As mentioned above, you are now being chased by a maniac. He will start running after Judith whenever he notices or hears the girl. If you play on the highest difficulty level, Eddie will spot you every time you are in his sights. On lower difficulty levels, you are less likely to be spotted.
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Go back upstairs and enter the reception area. Behind the reception desk, turn off the light on the right side at the entrance cog (only if it's on). Now you need to press that button on the wall and quickly run to the trust that opens. Before you press the button, make sure Eddie is upstairs. You only have about 10 seconds to get to the door. Press the button, then run out from behind the reception desk, turn right, run to the end of the hallway and go through the door that has a red light above it. If you don't make it in time, the door will close and you'll have to press the button again.
Once through the door, immediately turn left and enter the next door. This will activate the checkpoint, and Eddie will smash the timed door (you'll get an Achievement). Inside room 6, interact with the nightstand opposite the front door and pick up the Amphibian book. Exit the room and go through the destroyed timer door. Immediately turn left and interact with the water faucet. Go back through the destroyed door and interact with the lock on the right side. Enter the code 7935 to open the door to the holding cell and get an Achievement. Go back to the fuse box and place the fuses in the correct order.
Return to the holding cell where you entered code 7935. Before you do this to get another Achievement, go upstairs and make sure Eddie is chasing you. Quickly run downstairs and enter the room with the padlock. Close the door and hide. Once Eddie loses track of you, you will unlock the "Hide!" aicvka. Inside this room, interact with the corpse on the chair and pick up the key to the surgery/operating room. You will unlock an Achievement. Go to the phone used earlier in the beginning of the game and interact with it. Go upstairs, turn left and at the end of the hallway look for the surgery room (on the left side). Open this door to get an Achievement. Inside the operating room, find the fuse on the operating table and go back to the fuse box in the basement. Place all the fuses in the correct order.
Return to the surgery and interact with the oxygen machine on the left. First set the manual switch to the "On" position, then pull the switch in the lower right corner. You will see four blocks of numbers above the machine. Two lines with two sets of numbers. You will need to match the highlighted yellow number to the white number. You will need to do this three times. To do this, set the switch to the x3 position. Click on the switch to the right of the numbers and match the first number. Once you get the first number, it will turn green and switch to the next number. Set the x3 switch to the x1 position and match the second number. For the third number, set the 0-15 switch to 15. First set the yellow number to 000, then set the x1 switch to x4, then select the number 119 and rotate the 0-15 toggle switch until you get the third number. You will get an Achievement. Get the key to the locker in the surgery. Open the locker in the surgery with this key and take the photo and the key to the basement. Eddie will go into Surgery and you will have to run past him and hide somewhere.
Once he loses you, make your way to the basement where the fuse box is. You can open the door next to it. Pick up the fuse on the left side. Go to the fuse box and place the fuses in the correct order. Go to the entrance behind the reception desk and place the water faucet. Go upstairs, then turn right and go to the end of the hallway to the bathroom. To open it, enter the code 2839. You will get an Achievement. In the bathroom, take the fuse from the locker. Pick up the water faucet lying behind the wheelchair. Exit the bathroom and turn right. At the back left of the hallway, place the last water faucet. Go back to the basement and place the fuses in the correct order. Go back to the bathroom and interact with the electrical box. Interact inside again, then turn around and pick up the chess piece lying in the bathroom.
Exit the bathroom, go downstairs, then turn right and at the end of the hallway, open the principal's office on the right side. Inside the office, take the book "Reptiles" lying on the left side. Then take the rusty key from the desk. Go back to the basement and open the gate to get an Achievement. Inside the cell, look for a fuse and pliers. In front of the bed lies the book "Insects". Last but not least, look for the photo on the bed.
Go to the fuse box and place the fuses in the right order to get the Achievement. Then place the fuses differently and go back to the principal's office. Interact with the books. First, take the book "Plants." Then arrange the books in the following order: Plants, Insects, Amphibians, Reptiles, and Mammals. The safe to your left will open. Interact with it and enter the code 4547. Take the front door key from the safe. Go to the front door, which is located across from the reception desk. Interact with it to cut the chain. Then interact with it again. The door will open and you will see a video clip.