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 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.
Survive all campaigns on Expert.
Catch a rare strain of infection, then pass it on to someone else.
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.
Survive the Crash Course Campaign.
Restart the generator within 30 seconds of it shutting off.
Kill 5,359 Infected in the Crash Course campaign.
Stun a Tank with an explosion in the Crash Course campaign.
Complete "The Sacrifice".
As A Tank hit 20 Survivors with a car in the Crash Course campaign.
Complete one round of Survival on The Last Stand.
Win a Versus campaign of Crash Course.
Your team wipes all Survivors after the escape vehicle has opened in Crash Course.
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.
Your team incapacitates three Survivors within five seconds.
Earn a Bronze medal in Survival mode on any official level.
Earn a Silver medal in Survival mode on any official level.
Earn a Gold medal in Survival mode on any official level.
Protect any Survivor from an attacking Infected 50 times.
Heal 25 Survivors with a first aid kit.
Give pain pills to 10 Survivors.
Revive 50 incapacitated Survivors.
Punch a Hunter as he is pouncing.
Rescue a Survivor from a Smoker's tongue before he takes damage.
Kill a Witch with a single headshot.
No Survivors take damage after contacting the rescue vehicle.
You or another Survivor take no damage after being vomited on by a Boomer.
Survive an entire campaign using only pistols.
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.
Single-handedly kill a Tank.
Kill a Tank without it dealing any damage to a Survivor.
Play an entire campaign with no Survivors taking friendly fire damage.
Beat a campaign with all 4 Survivors.
Finish a campaign without ever using a first aid kit on yourself.
Kill a Witch without any Survivor taking damage from her.
Kill 1000 Infected with a mounted machine gun.
Blow up 20 Infected in a single explosion.
Kill 53,595 Infected.
Heal a fellow Survivor when your own health is below 10.
Survive a campaign without being incapacitated.
Survive any campaign on Expert.
Survive a campaign with no Survivors taking damage from Special Infected.
Dole out 5000 total Survivor damage as a Special Infected.
Save another Survivor from a Special Infected while on the ground.
Shove a Boomer and then kill him without him splashing on anyone.
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.
All Survivors complete a campaign without being vomited on.
Make 100 headshot kills.
Headshot a Hunter while he's leaping.
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.
Kill all four Survivors on one life as a Tank.
As an Infected, incap a Survivor who has entered and left a safe room.