Here is the full list of all 29 Garry's Mod achievements. It takes around 200 hours to unlock all of the achievements on Windows.
You have wasted a year of your life playing GMod!
One whole month of your life wasted
One whole week of your life wasted
Start Garry's Mod 1000 times
Play with 10 friends
Play on the same server as garry
24 hours of your life wasted
Play on the same server & map for 8 hours
Play on the same server & map for 4 hours
Spawn 2000 ragdolls
Open the spawnmenu 100,000 times
Say the secret phrase
Killed 1000 Baddies
Remove 5000 things
Spawn 5000 props
Your Workshop uploads got 10 thumbs
Your workshop uploads got 100 thumbs
Your Workshop uploads got 1000 thumbs
Get 1000 thumbs on a single upload (then go to jail)
Burst 1000 balloons
Kill 1000 friendly NPCs
Eat 200 balls
Kill 1000 innocent animals
Spawn 1000 NPCs
Experience 500 Lua programming errors
Play 20 different maps
Play a gamemode that isn't sandbox
Play singleplayer at least once
Play multiplayer at least once