Beginner fighting difficulty setting
Intentionally die twice during game play under the normal fighting difficulty setting. The fighting difficulty setting can now be set to "Beginner" in the extra options menu.
Life display option
Successfully complete the game under the hard difficulty setting to unlock "Life Display" at the extra options screen.
UFO ending
Successfully complete game and unlock the Princess Heart costume and the Heather Beam weapon. The Heather Beam is a special weapon which you can only use if Heather or Cheryl is not holding any weapon. Defeat all monsters and Bosses using only the Heather Beam. Note: The "Monster defeated" counter should read 0 kills.
Possessed ending
Kill all monsters with any weapon except melee ones, preferably the unlimited sub machine gun (a special weapon).
Death scenes
There are multiple areas in the game where special death scenes occur for your character if you trigger them:
In the hospital, allow yourself to be killed by the nurses. The screen will go black, and then it will show Heather lying on the ground, as a male doctor zombie shambles up, grabs and widely spreads her legs, and drags her off into the darkness.
At the final area, after Claudia kills Vincent and the exchange between Heather and Claudia ensues, equip a weapon and attack Claudia with it. Heather will then begin to bleed out and birth the "God". This is not really an ending, as it counts as a "Game Over", but is a gruesome ending nonetheless.
While in the subway, hop down onto the tracks and run all the way to the end of them, into the tunnel. Heather will be run over by the train, accompanied by nauseating sound effects.
When on the train, simply turn around and exit through the door in the rear of any car. Heather will be on the very end of the train. If you move forward towards the edge, a first-person cut scene will occur in which Heather falls from the train onto the tracks, and dies.
There are other death scenes located in specific areas throughout the game. Look for areas that seem significant (locations from previous games, for instance) and allow yourself to be killed.
Unlock up to ten Extreme Action Mode games
Finish the game in hard action mode to unlock Extreme Action Mode 1 (an increased difficulty mode). Finish Extreme Action Mode 1 to unlock Mode 2, etc. Continue doing this until you unlock the last one, Extreme Action Mode X. If you finish this last mode you will be rewarded with the God Of Thunder T-shirt.
Book store: Puzzle
When putting the books out of order, the solution is 4 5 2 3 1, under the normal action and normal riddle difficulty settings. The solution under the hard difficulty setting is 8 3 5 2.
Brookhaven Hospital: Second lobby door password
The password is an easy math problem. The first digit is greater than the second digit. The second digit is the third digit multiplied by two. The third digit is half of the first digit. The solution is 8 6 3 4, under the normal action and normal riddle difficulty settings. The solution under the easy difficulty setting is 4 6 3 9. The solution under the hard difficulty setting is 4 8 9 6.
Brookhaven Hospital: Third lobby door password
For this, go to floor B, then to the storeroom . Go to the end of the room and take a photo of the bloody wall with a shelf near it. The solution is 4 7 5 6, under the normal action and normal riddle difficulty settings. The solution under the hard difficulty setting is 1 3 2 8.
Brookhaven Hospital: Crematory puzzle
The solution under the hard riddle difficulty setting is 9 2 7 1. The solution under the normal difficulty setting is: 9 3 6 7.
Brookhaven Hospital: Suitcase on bed password
Look at the clock near the bed. The time is the password. For example, if the clock shows the 5h:6m, you would enter 0 5 0 6. The solution is 0 7 1 9, under the normal action and normal riddle difficulty settings. Note: The clock should be read in military time. For example, if the alarm clock reads as 2:14 then it should be entered as 14:14 on the suitcase.
Brookhaven Hospital: 33rd floor lock password
The solution to the puzzle is about some birds . The order is Wren, Owl, Linnet, Sparrow. The solution is 9 2 7 1 under the hard riddle difficulty setting.
Brookhaven Hospital: Bloody mode 33rd floor lock password
After hospital changes to bloody mode, you can go to the 33rd floor. At the top of the room is a stony picture on the wall . This picture shows you the order of the digits. For example:
I is number of this bed is digit 1
II is number of this bed is digit 2
III is number of this bed is digit 3
IV is number of This bed is digit 4
Where the digits are indicate the number of beds that you see bloody. The solution is 8 2 3 7, under the normal action and normal riddle difficulty settings.
Brookhaven Hospital: Hidden ammunition
For sub machine gun ammunition, go to the hospital roof.
Subway: Vengeful ghost
When initially reaching the subway station, look for a cluster of vending machines for coins and tickets. On top of one of those machines is a newspaper telling of a man who was killed, presumably by accident, by a train. Later, once you begin descending levels, you will come across a stairwell that has an occult magazine lying on the ground. Read it, and it will describe how the ghosts of those who commit suicide or those who died by accident often come back to haunt the places of their death, and will either come to people for help or take revenge on them. If you read both of these articles and descend the steps, Heather will walk down to the subway track, and a small intermission sequence will ensue which has a ghost push Heather onto the train tracks. You must turn around quickly and climb back up, or you will be killed by an oncoming train. Note: That this occurred in the Extra New Game mode, and may not happen the first time through on Normal Game mode.
Order of tarot cards at the last door of the game
Arrange the cards as follows in the normal action and normal riddle difficulty settings:
Northwest position: Eye Of The Night
Northeast position: Moon
West position: High Priestess
East position: Fool
South position: Hanged Man
Arrange the cards as follows in the hard difficulty setting.
Northwest position: The High Priestess
North position: The Eye Of The Night
Center position: The Fool
East position: The Moon
Southwest position: The Hanged Man
The riddle is a problem with Roman numerals. The Priestess is number II (2) as read on the book about tarots. The Eye Of The Night is XXII (22). The Fool is 0. The Moon is XVIII (18). The Hanged Man is XII (12). Look in the book of drawings to see that XVIII can stay only in the east position (the last letter is I instead of L); XII is only in the southwest position; II is only in the northwest position; 0 and XXII have two places where they can stay. Swap them until you find their correct place.
Heather Beam
Kill 333 enemies. Playing through the game several times will achieve this. Note: Wear the Transform costume to change the Heather Beam into the Sexy Beam.
Life Bar
Successfully complete the game under the hard action and hard riddle difficulty settings to unlock the "Life Bar" option at the extra options screen.
Never get tired
Equipping the Princess Heart or Transform costume will make Heather run long distances without getting tired. This is also useful for the Heather Beam weapon, since it depends on how tired Heather is.
Heather looking dead
Equipping the God Of Thunder costume allow Heather or Cheryl to look like one of the evil Heathers in the Amusement Park. When you get to the scene where Heather will "eat" her pendant, you will see some kind of lettering on her fingers.
Weapons
You can find a shotgun is in the subway and a machine gun in the hospital. The best weapon for last battle is the katana.
Special weapon locations
Once you unlocked the following Special weapons they can be found at their respective places: Beam Saber - At the end of the hallway where you get the bookstore key; hanging on the door. Flamethrower-In - Helen's Bakery (where you get the tongs); on the counter. Infinite Ammo Sub Machine Gun - Immediately after exiting out of the bathroom window (after the start of the game) go left; it is at the dead end. Heather Beam - After obtaining it, you always have it. You can use it when no weapon is equipped. Silencer - After the sewer, go to the apartment 5F. You will see a room with a big hole. There is mattress near the hole. To the right of it is a wall that that has a light blue color section. Use a pipe to break the wall and get the silencer.
Unlock the Flamethrower and the Beam Saber with just one game played completely
To unlock these two extra-weapons without having to play a new game from the beginning, save your game in the tarot-puzzle room just before the last Boss. When you finish the game, you will unlock one of the weapons (Flamethrower or Beam Saber). Save your results. After this, load that previous saved game and finish it again. You will now unlock the other weapon.
Unlock the Flamethrower, Beam Saber, and Sub Machine Gun with just one game played completely
Finish the game and save your results. You should have at least one special weapon unlocked (Beam Saber, Unlimited Sub Machine Gun, or Flamethrower). Then, load your saved game again. Finishing the game the second time with the same save will unlock the Flamethrower (if you do not have it). Finish the game the third time, but kill the last Boss, Claudia, with only melee weapons such as the Maul or the Katana. After that, you will unlock the Unlimited Sub Machine Gun. Note: If you do not have the Beam Saber, then in the third time through kill the last Boss, Claudia, with long range weapons such as the shotgun or the sub machine gun.
Ammo multiplier 5X
Finish the game once, then load your saved game again. Finish the game again nine times using the same saved game. When you start a new game or extra new game, enter the extra options menu. You can now set the bullet multiplier option to 5X. When you pick any ammunition, it will be multiplied nine times more than the normal amount.
Claudia
When the intermission sequence between Claudia and Vincent is finished and Vincent dies, use the necklace on Claudia.