S.T.A.L.K.E.R. 2: Heart of Chornobyl

The hardest status to get is "sleep". You must go for several days without using a bed or energy drinks.
It takes a lot of time going withouth sleep to get this status.
Weird Pot uniqe artifact gives you tired if you have this one.
Once you have "sleep" status go to some psi-anomaly. Stone Village in Wild Island is one of the best spots.
Once here remove all artifacts that protect you from radiation and put on some artifacts to get "radiation" status.
There are Glass Shards anomalies near Stone Village that will give you "bleeding".
Get inside the Stone Village to get under "psi" attack.
Drink some beers and vodka to get "alcohol" and "hunger" statuses.
This may remove "radiation" so wait a bit for it to build up.
Also be aware that medkits remove "bleeding" so you may need to get in to Glas Shards again.

It seems like this might be bugged for most people as when I tried this a few times it didn't seem to unlock. And it seems Steam users also aren't having much luck getting to pop either. In the mean time I think I may know of an area that might be good for this to keep in mind for when the achievement gets patched or others can figure out exactly what is necessary for making it pop.

Tested this out now that my old save that I had set up for this finally works again. Was able to get it to pop with this method which is handy if you don't have the Weird Pot from the Mist anomalous area in the Burnt Forest.

A bit southwest of Rostok is a river that has a tug boat and barge in the middle of it. Underneath it on the Chemical Plant side of the river is a psi emitter monument thing and standing next to it causes psi hallucinations. For sleep you can do a fight in the arena (assuming you haven't completed all of them) to help get your character a bit tired. Hunger and drunk is easy enough as long as you don't eat for awhile and also carry plenty of vodka on you. At the psi emitter there is a chance of zombies being at it (were some there when I went to it) and letting them shoot you can cause your bleeding. If any stalkers happen to wander near the psi emitter they will also turn into zombies. The psi hallucinations can cause bleeding to occur so you don't need zombies if there aren't any there. For radiation you can cause it by putting on some artifacts so you soak up the radiation from it.

Tried testing things out more after waiting long enough for my sleep to start flashing. Went over to the psi emitter with a lot of booze and with some max radiation artifacts equipped. Stood around and let a couple zombies shoot me until I was bleeding as badly as I could. So while starving and drunk off a lot of vodka, bleeding enough to support a blood clinic, and having my hair fall out while hallucinations were attacking me it still didn't pop. Unless there's something I missed this seems bugged. I have the save set for testing it later after some patches possibly fix it.

Now that all achievements are working after the new patch, to get this achievement we need to get all the effects stacked at one time.

Get Sleep effect first by not sleeping and not using any energy drinks or water, took me around 7-9 in-game hours.

If you don't want to wait for Arch-Artifact later to get the PSI effect, then go to any Psi field which also has glass anomaly nearby for bleeding effect (unequip any bleeding resistance artifact), I went for Stone Village in Wild Island (at border of Wild Island and Cement factory).

With Sleep effect already on, equip an artifact to get radiation while standing in Psi field to get Psi then drink lots of Vodka for Alcohol and Hunger and Run for Glass anomaly to get Bleeding.
Achievement should pop.

Note: Some people have mentioned that you need to be encumbered too and you can see in the video that I was encumbered before achievement popped, So try that if achievement is not popping.

Note:- Have lots of Med-kit for lots of healing, don't use bandages.

It seems like this might be bugged for most people as when I tried this a few times it didn't seem to unlock. And it seems Steam users also aren't having much luck getting to pop either. In the mean time I think I may know of an area that might be good for this to keep in mind for when the achievement gets patched or others can figure out exactly what is necessary for making it pop.

A bit southwest of Rostok is a river that has a tug boat and barge in the middle of it. Underneath it on the Chemical Plant side of the river is a psi emitter monument thing and standing next to it causes psi hallucinations. For sleep you can do a fight in the arena (assuming you haven't completed all of them) to help get your character get a bit tired. Hunger and drunk is easy enough as long as you don't eat for awhile and also carry plenty of vodka on you. At the psi emitter there is a chance of zombies being at it (were some there when I went to it) and letting them shoot you can cause your bleeding. If there aren't any zombies if you stick around and wait for a squad to spawn they will turn into zombies if they wander close to the psi emitter. For radiation you can cause it by putting on some artifacts so you soak up the radiation from it.

Tried testing things out more after waiting long enough for my sleep to start flashing. Went over to the psi emitter with a lot of booze and with some max radiation artifacts equipped. Stood around and let a couple zombies shoot me until I was bleeding as badly as I could. So while starving and drunk off a lot of vodka, bleeding enough to support a blood clinic, and having my hair fall out while hallucinations were attacking me it still didn't pop. Unless there's something I missed this seems bugged. I have the save set for testing it later after some patches possibly fix it.

Sometime later I'll see about trying it without armor on as I'm wondering if somehow the resistances on it are causing things to bug out. Not sure what else to try in the mean time.

Very simple to get. Easier than expected actually. You have to do it in this EXACT order though (ie: alcohol will cure radiation and food will cure hunger, gotta work the weird pot effects to your advantage)

Step one: get the weird pot artifact and have it equipped for this
Step two: go to Slag Heap, mark where the shard anomaly is in your map (south path near the bridge the dude ha you grab the gun from), then once marked, walk backwards up the hill until just before you take radiation damage (just make sure you’re facing where the shard anomaly is)
Step three: (with weird pot equipped) eat a bunch of food until you get both the sleepy AND Psy effects
Step four: drink alcohol until you get hungry and the drunk effect
Step five: back up the hill and take radiation damage until your around half
Step six: sprint right through the shard anomaly

Boom. Done.

None of the other guides worked for me. Tried for half hour or so with each. Here's what worked [no weird pot. no encumbered.]

1. Get tired by not drinking nor sleeping (takes longest unless you do a round in arena).

2. Grab 6 vodka, 10 normal medkits and an artifact that gives max radiation and no anti bleeding.

3. Don't eat so that you get hungry on the journey.

4. Head to a marsh pool in very SW of Chemical Plant region. (Just north of the boundary point with Duga and Burnt Forest). It has a water tower and is a psi field spawning dummy artifacts. (There is a stash bag at foot of water tower with couple of vodka and few medkits in case you need bit extra). Manual save just in case you need to try again.

5. Equip irradiating artifacts and get up to 75% rads (stand in marsh water to help). Now keep an eye on your health bar....

6. Grab a few of the fake artifacts to kick off the psi effect... generates enemy soldiers. Get shot to get bleeding. (Soldiers will keep on randomly dying which helps to control the amount of damage you take).

7. Drink vodka to get drunk whilst crouching in water to keep the rads up.

It took a good 5 mins of medkits and vodka and ensuring bleed didn't stop before this popped, but only took 1 attempt.
It maybe because you need yellow/ red rads on your meter or a certain length of bleed time.... Whatever it is, it does not pop straight away (as soon as all the status effects appear in your hud) so just keep on getting the effects until it does pop.

Now that all achievements are working after the new patch, to get this achievement we need to get all the effects stacked at one time.

Get Sleep effect first by not sleeping and not using any energy drinks or water, took me around 7-9 in-game hours.

If you don't want to wait for Arch-Artifact later to get the PSI effect, then go to any Psi field which also has glass anomaly nearby for bleeding effect (unequip any bleeding resistance artifact), I went for Stone Village in Wild Island (at border of Wild Island and Cement factory).

With Sleep effect already on, equip an artifact to get radiation while standing in Psi field to get Psi then drink lots of Vodka for Alcohol and Hunger and Run for Glass anomaly to get Bleeding.
Achievement should pop.

Note:- Have lots of Med-kit for lots of healing, don't use bandages.

The hardest status to get is "sleep". You must go for several days without using a bed or energy drinks.
It takes a lot of time going withouth sleep to get this status.
Weird Pot uniqe artifact gives you tired if you have this one.
Once you have "sleep" status go to some psi-anomaly. Stone Village in Wild Island is one of the best spots.
Once here remove all artifacts that protect you from radiation and put on some artifacts to get "radiation" status.
There are Glass Shards anomalies near Stone Village that will give you "bleeding".
Get inside the Stone Village to get under "psi" attack.
Drink some beers and vodka to get "alcohol" and "hunger" statuses.
This may remove "radiation" so wait a bit for it to build up.
Also be aware that medkits remove "bleeding" so you may need to get in to Glas Shards again.