Complete the game by amassing a vast amount of gold.

Complete the game by becoming the most powerful community leader in the area.

Complete the game by following your heart.

This awardment is obtained if Isham joins you on your journey to Vancouver.

Complete the game without killing anyone who didn't deserve it, executing those who do, and without allowing Alice to die.

Free Bridget Cassidy without giving the kidnappers any ransom money or gifts.

Free Willard Williams without giving the kidnappers any ransom money or gifts.

Complete all the quests that involve taking down a gang of looters.

Recruit Connie Reed to your community.

Recruit Bat Jacobs to your community.

Recruit Jim Gallager to your community.

Recruit a looter to your community.

Recruit all the Fat Neils to your community (without any of them dying).

Recruit all the McCoys to your community (without any of them dying).

Make a molotov cocktail (requires a rag, cheap vodka and a match).

Make a bandage by sterilizing a rag with some cheap vodka.

Build a pillbox.

Build a concrete watchtower.

Build fences all around your bunker, so that it is completely enclosed.

Find the Brain Scanner.

Somewhere in the area is a getaway vehicle from a long-forgotten heist, containing an assault rifle, a backpack, and a pile of now-worthless cash. Find it.

Find Auntie Abbie's locket and return it to Annie Dillinger.

Find and investigate all the crates in the area (there are 47 in total).

Find all the insulin in the area and give it to Alice (there are 62 doses in total).