Here is the full list of all 21 Guns, Gore & Cannoli achievements. It takes around 6-8 hours to unlock all of the achievements on Windows.
Survive the army stronghold without killing any enemies.
Complete the game on impossible mode
Complete the game on hard mode
Survive The construction site without killing any enemies with weapons.
Kill 20 enemies in the alleystreets, during one run, by kicking them into fire.
Kill 2000 enemies
Survive the sewer using only your Lupara
Survive the river level using only your magnum
Complete 'Bonnino's Stripclub' without dying once on Normal Mode
Complete the game on normal mode
Complete the game on easy mode
10 multi-enemy grenade kills
Kill 1000 enemies
Defeat Mickey
Consecutively kill 25 enemies with a headshot
Destroy 10 cars
5 multi-enemy grenade kills
Defeat Sonny
Kill 400 enemies
Eat 10 Cannoli
50 headshots