Trauma's End achievement in Painkiller H&D

Trauma's End

Solo Campaign: Play whole game on Trauma difficulty level

Trauma's End+1.3
2 guidesOffline Game Mode - These achievements require play in game modes that do not necessitate a connection to any online services.Single Player - These achievements can be obtained by a single player.Difficulty Specific - These achievements require that the game be played on a certain difficulty level.Multiple Playthroughs Required - These achievements cannot be earned during the initial playthrough.

How to unlock the Trauma's End achievement

  • FFX BrotherhoodFFX Brotherhood960,957
    09 Oct 2013 11 Oct 2013 11 Oct 2013
    12 1 8
    Do this via level select, rather than signing a new pact.

    Trauma difficulty is unlocked after you have beat the game on "Nightmare" difficulty and for the most part, is no different. The main things to remember are...

    1) Souls no longer give you health, so you are going to have to rely on the yellow souls to give you life back. The green souls still charge you towards "Demon mode" which makes you invincible and incredibly deadly for a short period of time.

    2) Collect all the ammo you can. Enemies still die easy, but you don't want to get caught out with a bad weapon for the wrong enemy. For instance, the rocket launcher is great for taking out Big guys and groups of enemies. The stake-gun is great for taking out enemies that are further away.

    3) Acquire all the tarot cards. These give you achievements and make the "Trauma" difficulty so much easier. The best set up is ...
    GOLD: 4x Damage, Cards last 20 seconds longer, Iron Will (No damage)
    Silver: Divine intervention, Mercy

    This set up basically makes you a titanic super-god who can't die while the tarot is active. Use it only when you are getting swarmed such as in The Colosseum level at the end. The mercy card allows you to use the cards 3 times each level, which is a huge help, drastically making the game easier.

    Other than that there isn't much more advice to give you. Be on the lookout for secret areas as well as these generally give you more ammo and health/armour which is always a nice bonus. Always keep moving, preferably bunny hop as most enemies cannot keep up with you. Use explosive barrels to take out groups of clustered enemies.

    Good luck, Pm me if you have any concerns or worries.

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    Showing most recent comments. View all comments.
    FFX BrotherhoodIt's a sign. shock
    Posted by FFX Brotherhood on 30 Jul 14 at 20:41
    EarthboundXFrom playing the game, it seems the Divine intervention card is 100% useless, you don't actually spend Gold when you use the Gold Cards. You just need a certain amount to equip them.

    So if you have 1300 gold, and a card takes 200, you'll go down to 1100 gold, but if you take that card off, you go back to 1300.

    I have no idea why the card is in the game, it seems to be only for if you somehow don't have enough gold to equip certain cards. But once you go through the game once, you'll have more then enough to equip the best cards.

    So I'd switch out that card with something else.
    Posted by EarthboundX on 17 Feb 15 at 01:28
    TrombonafideI swapped out Divine Intervention for the 666 Ammo card made available via the DLC. Haven’t run out of ammo for anything other than chain gun, and that was just once.
    Posted by Trombonafide on 15 May at 17:35
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  • ShadowManGMRShadowManGMR625,201
    23 Aug 2014 27 Aug 2014 28 Aug 2014
    5 0 1
    I would like to offer a slightly different strategy than what is offered above. I still recommend using the level select instead of signing a new pact, but I used a slightly different set of tarot cards.

    Tarot cards: For Gold Cards, I used Iron Will for invincibility, Fury for more damage, and Rage for even more damage. For Silver Cards, I used Mercy to allow for more Gold Card uses and the DLC tarot card that gives 666 ammo for all guns. (Sorry, I could not remember the name, if anyone wants to submit that information that will be very helpful. Thanks.)

    Weapons: I used the shotgun almost exclusively. With nearly infinite ammo you can freeze many enemies then blast them away no matter how far away they are. The Shotgun can be used almost like a sniper rifle this way. Just shoot the weaker baddies and freeze and shoot the stronger ones. This lets you take out almost anyone in the game with two shots, no matter how strong they are. For bosses, you just want to use the rockets and chaingun with your gold cards to take them out fast.

    You should do this achievement after you have done all the other campaign achievements so that you know where secret areas are and you know when to use your gold cards.

    Also be sure to hoard souls as much as possible, because the demon form will come in handy at taking out some of the harder encounters.

    Using the shotgun all the time, you can just sit back in a corner and let the enemies come to you or keep walking backwards and popping them off as you go.

    When you do use your gold cards, I suggest using a rocket launcher, shuriken gun or machine gun to deliver the most damage to the most enemies in the shortest amount of time.

    For the last boss, only use your gold cards when he is vulnerable (i.e. when he is not green). the rest of the time, just bunny hop around and collect health and armor.
    Showing only comment.
    EarthboundXVery helpful, just finished it.

    I'd recommend switching the extra X2 damage card for the 20 second card though.

    X4 damage is more then enough to kill anything.
    Posted by EarthboundX on 18 Feb 15 at 04:26
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