Here is the full list of all 23 POSTAL 4: No Regerts achievements.
Beat the game by only using kicks to open doors and kill people
Completed the story with no kills
Collect all Krotchy, Kunny, & Larry collectibles
Finish all rampages
Finish a mission with all 3 Dudes
Collect all the paintings in the game
Beat the Fix Race errand by crossing the finished line with a fully bloodied scooter
Reunite with an old enemy, again
Kill 7 people at the same time using Dude Eye
Kill 100 pigeons from thrown cages
Kill all of the mountain men on Thursday
Install all bidets for Mike without killing anyone
Get all 10 petition signatures using the drag outfit.
Kill 4 fast-food workers during the Mexicleaner errand with the FOURnicator
Hit all barrels with an immigrant during the Border Smuggler errand
Find the secret crack den!
Beat all highscores of the Scooter Challenge
As the Cat Dude, kill 10 chicks
Turn 10 toilets yellow with piss
Run over 50 people with the mobility scooter.
Flush after taking a piss in a toilet
Reach maximum heat level with the police and survive!
Make your homeless sign