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.
Kill 5,359 Infected in the Crash Course campaign.
Win a Versus campaign of Crash Course.
Have all 3 generators running at once in "The Sacrifice" finale.
As a Special Infected, incap someone who is trying to sacrifice themselves.
Kill a Special Infected with an exploding barrel.
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.
Your team incapacitates three Survivors within five seconds.
Smoker pull a bile-covered Survivor until you hold him during Crash Course.
Pounce a Survivor for 25 points of damage in the Crash Course campaign.
Dole out 5000 total Survivor damage as a Special Infected.
As an Infected, incap a Survivor who has entered and left a safe room.
Kill all four Survivors on one life as a Tank.
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.
Catch a rare strain of infection, then pass it on to someone else.
Drag a Survivor 100 feet with your tongue as a Smoker.
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.
Complete one round of Survival on The Last Stand.
Single-handedly kill a Tank.
Kill a Witch with a single headshot.
No Survivors take damage after contacting the rescue vehicle.
Survive all campaigns on Expert.
Survive an entire campaign using only pistols.
Play an entire campaign with no Survivors taking friendly fire damage.
Finish a campaign without ever using a first aid kit on yourself.
Survive a campaign with no Survivors taking damage from Special Infected.
Sneak past all Witches in a campaign without disturbing one.
Survive any campaign on Expert.
Save another Survivor from a Special Infected while on the ground.
Kill 1000 Infected with a mounted machine gun.
Complete "The Sacrifice".
Have Bill sacrifice himself for the team.
Revive 50 incapacitated Survivors.
Stun a Tank with an explosion in the Crash Course campaign.
Kill an Infected with a single blow from behind.
Punch a Hunter as he is pouncing.
Survive the Crash Course Campaign.
Light a Witch with a Molotov.
Heal 25 Survivors with a first aid kit.
Survive the Dead Air campaign.
Shove a Hunter off of a pinned and helpless Survivor.
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.
Give pain pills to 10 Survivors.
Rescue a Survivor trapped in a closet.
Kill a Smoker who has grabbed you with his tongue.
Kill 10 Smokers as they are pulling helpless Survivors.
Set 101 Infected on fire.
Kill a Tank without it dealing any damage to a Survivor.
Beat a campaign with all 4 Survivors.
Kill a Witch without any Survivor taking damage from her.
Blow up 20 Infected in a single explosion.
Heal a fellow Survivor when your own health is below 10.
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 Tank with a Molotov.
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 Blood Harvest campaign.
Restart the generator within 30 seconds of it shutting off.