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