Here is the full list of all 30 Downfall achievements.
You spotted Slenderman in the forest!
You finished the game without using auto-save
Joe found Agnes' head on the desk in the manageress' office
You had a nice chat with Harrison
You were really mean to Ivy
You found some concept art in the lucky dip!
Susan built 2 weapons
You were given a motivational speech
You settled the matter with four Sophie's
You completed all the tasks in Helen Road
Joe killed Agnes
Joe killed the Receptionist
Joe examines knickers...a valid plot point!
You read the third and Final Part of the letter
You read Part Two of the letter
Joe plays a tune on the piano
You explored all 4 floors of the hotel
You blew out the candle and caused an unfortunate accident
You persuaded the Queen of Maggots to say her name
Agnes persuaded Ivy to join her
You found a penis in the hotel garden
Agnes turned on the radio
Don't Cry, everyone dies...
You read Part One of the letter
You completed the tutorial
The cat ran away from Young Joe
You achieved the full, bad ending
You achieved the full, good ending
You made Doctor Z really angry
You achieved Downfall or Golden Ending without using tendency hints