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