Here is the full list of all 73 Left 4 Dead achievements. It takes around 60-80 hours to unlock all of the achievements on Windows.
Give pain pills to 10 Survivors.
Headshot a Hunter while he's leaping.
Revive 50 incapacitated Survivors.
Kill 5,359 Infected in the Crash Course campaign.
Survive a campaign without being incapacitated.
Kill 10 Smokers as they are pulling helpless Survivors.
Blow up 20 Infected in a single explosion.
Kill 1000 Infected with a mounted machine gun.
Stun a Tank with an explosion in the Crash Course campaign.
Rescue a Survivor trapped in a closet.
Save another Survivor from a Special Infected while on the ground.
Play an entire campaign with no Survivors taking friendly fire damage.
All Survivors complete a campaign without being vomited on.
Set 101 Infected on fire.
Sneak past all Witches in a campaign without disturbing one.
Survive an entire campaign using only pistols.
Complete "The Sacrifice".
Have Bill sacrifice himself for the team.
Protect any Survivor from an attacking Infected 50 times.
Heal a fellow Survivor when your own health is below 10.
Survive the Blood Harvest campaign.
Heal 25 Survivors with a first aid kit.
Survive the Dead Air campaign.
Kill a Smoker who has grabbed you with his tongue.
Shove a Boomer and then kill him without him splashing on anyone.
Shove a Hunter off of a pinned and helpless Survivor.
Survive the Death Toll campaign.
You or another Survivor take no damage after being vomited on by a Boomer.
Make 100 headshot kills.
Punch a Hunter as he is pouncing.
Light a Witch with a Molotov.
Survive the Crash Course Campaign.
Restart the generator within 30 seconds of it shutting off.
Rescue a Survivor from a Smoker's tongue before he takes damage.
Survive the No Mercy campaign.
Beat a campaign with all 4 Survivors.
Kill a Tank without it dealing any damage to a Survivor.
Light a Tank with a Molotov.
Kill a Witch with a single headshot.
Kill a Witch without any Survivor taking damage from her.
Kill an Infected with a single blow from behind.
No Survivors take damage after contacting the rescue vehicle.
Single-handedly kill a Tank.
Finish a campaign without ever using a first aid kit on yourself.
Kill 53,595 Infected.
Leave a safe room to save an incapped teammate and bring them back safely.
Survive any campaign on Expert.
Survive all campaigns on Expert.
Survive a campaign with no Survivors taking damage from Special Infected.
Cover four Survivors with Boomer bile at once.
Drag a Survivor 100 feet with your tongue as a Smoker.
Constrict two Survivors on one life as a Smoker.
Pounce two different Survivors on one life as a Hunter.
Kill all four Survivors on one life as a Tank.
Dole out 5000 total Survivor damage as a Special Infected.
As an Infected, incap a Survivor who has entered and left a safe room.
Catch a rare strain of infection, then pass it on to someone else.
Complete one round of Survival on The Last Stand.
Earn a Bronze medal in Survival mode on any official level.
Earn a Silver medal in Survival mode on any official level.
Earn a Gold medal in Survival mode on any official level.
Earn at least a Bronze medal on every official Survival level.
Earn at least a Silver medal on every official Survival level.
Earn a Gold medal on every official Survival level.
Win a Versus campaign of Crash Course.
Your team wipes all Survivors after the escape vehicle has opened in Crash Course.
As A Tank hit 20 Survivors with a car in the Crash Course campaign.
Pounce a Survivor for 25 points of damage in the Crash Course campaign.
Smoker pull a bile-covered Survivor until you hold him during Crash Course.
Your team incapacitates three Survivors within five seconds.
Kill a Special Infected with an exploding barrel.
Have all 3 generators running at once in "The Sacrifice" finale.
As a Special Infected, incap someone who is trying to sacrifice themselves.