The Inpatient VR Trophy Roadmap
- Estimated trophy difficulty: 2/10
- Approximate amount of time to platinum: 5 hours
- Offline Trophies: 22 (1, 7, 10, 4)
- Online Trophies: 0
- Number of missable trophies: 18 (everything except: Disorientation, Stuff of Nightmares, Depths of Despair)
- Glitched trophies: 0
- Does difficulty affect trophies?: There are no difficulty options in this game.
- Minimum Playthroughs: 2
Welcome to the The Inpatient VR Trophy Guide! You’ll be looking at a minimum of 2 playthroughs and some minor save reloads in order to get this platinum. There are 2 main paths that lead up to 2 different endings. Smaller twitches within those playthroughs can lead to multiple subendings within those paths. It is possible to do it all in one playthrough by backing up multiple saves during your run, but the much simpler thing is to just play through it twice, while only backing up 1-2 saves.
Step 1: Succumb to Temptation
Follow the path for “Lowest Ebb” and turn into the Wendigo. Make sure to back up your savefile just before meeting David for the first time, so you can get “Sacrificial Lamb” and “Blood On Your Hands” in the same run. Reload your game once more after getting both trophies to make sure that David and Suzanne survive. Next up you have to make sure that Victor the hotel janitor survives in order to unlock “Unhinged”.
Once you are at the cable car Ted will confront you about your symptoms and give you a choice, whether to kill him or to operate the cable car to save them all. Agree with him the first time so you get the trophies “Don’t Look Back” for saving everyone and “Ultimate Sacrifice” for staying behind. Once the credits are over, you will get “The Wendigo” for having turned into the Wendigo during your playthrough.
Now hit “Resume” in the main menu and the game will drop you off right before the lift scene near the end. This time refuse to operate the cable car, which will cause you to kill Ted, unlocking “Monstrosity”. You are now done with this run.
Step 2: Resist Temptation + Memory Collectibles
Follow the path for “Through Gritted Teeth” to turn your cell mate into the Wendigo. Make sure to get all the memories during this playthrough and the trophy “Time Lapsed” for checking your calendar every day.
Now back at the end of the game again, you have to play through 3 different scenarios in order to get all the missing trophies. Firstly, convince your cell mate that they should come with you and not sacrifice themselves for the group. This will cause your cell mate to go berserk and kill everybody, including yourself. You’ll unlock “Dead By Dawn” from doing this. Secondly, walk into the cable car with all the other survivors. Your cell mate will operate the cable car and you will survive the game for the first time, unlocking “Barely Alive”. After the credits, you’ll wake up in a police interrogation room. Simply agree not to tell anyone about your story to be set free. This will unlock “Sealed Lips”. Thirdly, reach the police interrogation room again and keep resisting. You have to do this 3 times before the officer gives up. You’ll be committed to another institution and unlock “Personal Hell” for doing so. You should now have your platinum trophy, congratulations!
Step 3: Mop-Up
The trophies “Unhinged”, “Time Lapsed” and “Horror Film” and not related to any of the endings and you can earn them without affecting your playthrough. Make sure to get all of them during one of your 2 playthroughs so you don’t have to come back for them.
The Inpatient VR Trophy Guide
You collected all Gold, Silver, and Bronze trophies in The Inpatient
|Earn all other trophies in The Inpatient VR to unlock the platinum. Congratulations!|
You discovered a memory
|See trophy “The Disturbing Truth” for their locations.|
|Stuff of Nightmares
You experienced your first dream
|Unmissable story trophy, cannot be missed. Over the course of the game you will experience multiple dream sequences (you know it’s a dream when everything turns green). This will unlock very early in the game.|
You succumbed to temptation
|1. Dream #1: Take the right path, follow the guy walking in front of you
2. Dream #2: Don’t go back in your cell and do not approach your cell mate sitting on his bed
3. Dream #3: Take the left path, follow the wolf
4. Eat the cockroach that your cell mate hands youFollowing this path will kill your cell mate and turn yourself into the Wendigo. You won’t be able to escape the mountain, but you’ll be able to save people or get them killed during your playthrough.
|Through Gritted Teeth
You resisted temptation
|1. Dream #1: Take the left path, follow the deer
2. Dream #2: Enter your cell, approach your cell mate sitting inside
3. Dream #3: Take the right path, follow the rabbit
4. Do not eat the cockroach your cell mate hands youFollowing this path will turn your cell mate into the Wendigo and allowing you to actually escape the mountain. You won’t be able to kill people during this run, however you can save them and yourself.
|Depths of Despair
You left Bragg alone to his fate
|Unmissable story trophy, cannot be missed. About halfway through the game you meet a group of survivors, one of them being Bragg (the doctor who was treating you at the start of the game). When talking to him in his office you can choose whether you want to leave him behind or if he should come with you. Your choice doesn’t matter because he will voluntarily stay behind either way.|
You diligently checked the calendar while confined to your room
|In the early game there will be many sections where you’re locked in your room. At first you are there alone, then a cell mate joins you, and later there are some “dream” sections in which you walk back into your room. Always (during every visit) go to the calendar on the right side of the door (with the deer on it) and tap on it with your right hand. You can’t mark it or anything, just tap on it a few times during every visit.
The trophy pops after the dream section where you place a doll in a doll’s house and then a demonic figure shows up behind you. Then you walk back into your room again and the window breaks, thus ending the dream section. The trophy pops right when the window breaks. This is at around 40% story progress (1 hour into the game). Remember to also check the calendar during this dream section.
You found the projector film of the nurse
|After you meet the survivor David halfway through the game, there’s a side room with a film reel that you can interact with that plays the Nurse movie. Watch it till the end. This does not count as one of the memories and can be skipped during your “The Disturbing Truth” run.|
|Blood On Your Hands
You were responsible for David’s death
|First, it’s important that you follow the steps for trophy “You succumbed to temptation” (Wolf Path). This will make it so your cell mate doesn’t show up later in the game – very important for this trophy!
When you meet David for the first time he jumps at you from behind a wall armed with a piece of wood. The key for the trophy is to make him trust you. He can’t grow suspicious of you.
When you meet David follow these choices:
Follow him through the corridor until he stops. Next dialogue starts:
After this talk, if David says”I’ll keep my eyes on you” you have messed up! He can’t say that. Keep following him to Bragg’s office, then take the following choices:
Now when crossing the courtyard, tell nurse Suzanne:
While crossing the courtyard a Wendigo attacks you. Shake the VR headset to mess up this part so the Wendigo sees you. Now David will sacrifice himself to rescue you.
You were responsible for Suzanne’s death
|In order to kill Suzanne, you have to make David not trust you, so simply follow the path for “Blood On Your Hands”, but always select the opposite answer. You want David to say “I’ll keep my eyes on you” and not to have any kind of personal connection to you.
In Braggs office you have to make sure to side with Suzanne, so make sure that you are being nice to Braggs and try to convince him to come with the group. As already mentioned for “Depths Of Despair”, he will always remain in his office, but the attempt counts.
Now when crossing the courtyard, tell nurse Suzanne:
While crossing the courtyard a Wendigo attacks you. Shake the VR headset to mess up this part so the Wendigo sees you. Now Suzanne will sacrifice herself to rescue you.
|The Disturbing Truth
You discovered all your memories
|See this guide: The Inpatient – All Memory Locations.|
You escaped the mountain
|At the end of the game, get into the cable car and make it out alive. This can only be unlocked during the playthrough where your cell mate is the Wendigo. If you succumbed to temptation and turned into the Wendigo yourself, you won’t get off the mountain.|
|Dead by Dawn
Nobody survived the night
|For this you must first earn the trophy “Through Gritted Teeth” (resisted temptation). This will make it so your cell mate is present at the end of the game (he will rejoin you in Bragg’s office and stick with you till the end, now wearing a doctor’s coat). Your cell mate has fallen victim to the Wendigo curse. At the end of the game, Ted will tell him to stay behind and operate the cable car. Go after him and try to talk him out of it, tell him to come with you. He will then transform into a Wendigo and kill you, thus ending the game and unlocking this trophy. Only you need to get killed to unlock it, doesn’t matter if everyone else is still alive at this point.
A more complicated but also possible alternative is to kill everyone by yourself in a run where you succumbed to temptation. Follow these steps to get rid of everyone (not the recommended method):
You killed Ted
|To kill Ted, you must make the following decisions throughout the game:
This causes you to become a Wendigo at the end of the game.
You can combine this with the trophies “Ultimate Sacrifice” & “The Wendigo”.
You stayed behind to operate the cable car
|See trophy “The Wendigo”.|
You saved Victor the hotel janitor
|You can meet Victor at the very end of the game in the elevator to the cable car. He is on floor 1 (must choose this elevator button). After he gets in the elevator, close it quickly via the red button and choose a different floor! Otherwise a Wendigo will kill Victor.
After finishing the game you can hit “Resume” in the title screen to retry the last section and save him.
|Don’t Look Back
David, Suzanne and Ted made it off the mountain
You convinced the police you’d stay quiet about events in the sanatorium
|At the end of the game make it out alive by the cable car. Then you’ll trigger the police talk. Pick the two dialogue choices on the right side: “I just want to go home” > “I’ll Say Nothing”.|
You chased down Hannah and Beth Washington
|This is the ending you get for doing trophy “Ultimate Sacrifice”. You must make the following choices:
This will give you the Wendigo Curse. Then at the end of the game, in front of the cable car, the survivors will realise you are slowly turning into a Wendigo. At this point you can volunteer to stay behind by talking to Ted at the cable car station. Pick the dialogues “Can you help me, father?” > “Okay, what do I need to do?”. Then press the button that activates the cable car.
This unlocks trophy “Ultimate Sacrifice” for staying behind. Because you stayed behind and turned into a Wendigo, you will see the game fast-forward to Until Dawn’s timeline. The final cut scene will be you (as the Wendigo) chasing after Hannah and Beth.
You were commited to an institution for not cooperating with the police
|At the end of the game make it out alive by the cable car. Then you’ll trigger the police talk. Pick the two dialogue choices on the left side: “You murdered them. I know what I saw” > “The truth. That’s my job”.|
You met the mysterious owner of Blackwood Sanatorium
|This an unmissable story trophy that unlocks at the very start of the game. It’s the first trophy you will earn, after talking to the doctor.|
You witnessed the events which led to the closure of Blackwood Sanatorium
|Unlocks at the very end of the game after talking to the police. You’ll see a secret sequence of your former cell mate, followed by the trophy pop. You have to make it out alive via the cable car to trigger the police scene and then this sequence.|