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