Call of Cthulhu

If you're following the amazing walkthrough provided by Nighthawx271 and Yinga Garten, you should be able to get this achievement no problem. However, if you didn't follow a walkthrough or otherwise don't have this achievement for some other reason, then the following are the steps that you'll need to take. Although the other guides listed here I feel are sufficient to be able to obtain this achievement, they have more downvotes than upvotes with no reason as to why, so I'm hoping that by providing a more detailed guide I may alleviate some confusion.

As per the walkthrough, there are 14 chapters to this game.

We first meet Irene Sanders at her house in Chapter 6.
When you sit down to talk with her, you will have a total of three conversation wheels pop up with options of what to say to her. Concerning the first conversation wheel, it doesn't seem to matter what you say, as the options on the second conversation wheel that appears later on will be the same regardless. In my case, when the first conversation wheel popped up, I chose "He died screaming, right before my eyes."
*Per Acidik Drake in the comments, choosing an option other than the one listed here for the first conversation wheel will not result in her committing suicide. Best to play it safe and choose this option.

The second conversation wheel is what matters for this achievement. You want to choose to say "It wasn't me that sent him there.." in order to blame her for her husband being at the asylum in the first place.

For the third conversation wheel, I don't think it matters which option you choose. I chose to say "Did he speak to you of a 'Shambler'"?

When the conversation ends, stand up and turn to the right. Walk past the phonograph and on the chest of drawers in the hallway just beyond the table with the phonograph is a recording cylinder that Francis Sanders recorded prior to going insane. Pick it up and go back to the phonograph to play it, and Irene Sanders should come over and listen. Stick around until the end of the recording and you should hear her say "I should never have let them take you away. What have I done? Everything is my fault." Make sure you hear her say that, so you know for sure that she is blaming herself for her husband's death.
*Per Leo Ascendent in the comments, playing the recording doesn't seem to matter, but I would anyway as it gives some interesting dialogue and background as to what happened to her husband.

The next important part comes in Chapter 8, where you'll be playing as Dr. Marie Colden. Progress through the conversations with the Nurse and Dr. Fuller at the beginning until you're able to move. In the room you start out in as well as in the room to your left are patients. What we're interested in here is a bed in the middle of the second room that belongs to the body of Irene Sanders. If you're leaving the first room and walking towards the desk located in the back corner of the second room, her bed should be the second one on your right. Inspect her body and medical report to find out she committed suicide.
*Per ASUknown1 in the comments, he completely missed looking at the body, but did everything else and still got the achievement. Don't take that for granted though. Probably best to play it safe and examine her body regardless.

Note: examining all patients/reading their medical reports and interacting with them as well as the two men on a bench out in the hallway will net you the following achievement.


As of this point in the guide, you've done everything to earn the achievement, but it won't actually unlock until Chapter 10. During your first conversation in the station with Officer Henry West, he'll talk to you about why you were arrested. The achievement should pop up during this conversation, the moment he mentions finding Irene Sanders dead in her drawing room.

**Important**
On a second playthrough, in chapter 6 I did not blame her for her husbands death, but I did play the phonograph recording. This choice still resulted in her ending up in the hospital in chapter 8, but she was alive and to be transferred to a mental ward. In this case, you don't get blamed for her death in chapter 10, so you won't get the achievement.

I hope this guide was helpful, and cleared up any confusion as to what needs to be said/done in order to obtain this achievement. If you vote negatively, please state in the comments what needs to be corrected in the guide so that I may make the necessary changes in order to benefit future achievement hunters.

When you meet who choose all the options that point the finger at her like the option "i wasn't the one who put him in there.." go over to the table in the hall pick up the voice can and play it. Later when you are the Dr go up to her bed read her clipboard and click on her body. Later at the police station it should unlock for you!