The Dark Pictures Anthology: Man Of Medan

Easiest way to get this is to keep everyone alive until the end. Send Brad and either Julia or Fliss down the hole. Have Brad deny mist twice to Junior, the girl gets shot. Then when Alex and the alternate girl split up Alex will see a monster, stab the monster and the other girl dies. Do not give the military the name of the ship or all will die, just in case you miss the distributor cap.

This is how I made sure all of the men survived, and how the women died.

1. Conrad left on the speedboat and survived.
2. The group did not turn Brad in, so he stayed behind on the boat. He later picked up a wrench.
3. Fliss got fresh air in the area past the Dining Room, outside the room with the coffin.
4. She saw Brad coming at her with the wrench. She failed her QTE and he killed her.
5. Alex and Brad both went down the hole from the radio room. Julia did not know the name of the ship and went after them.
6. Brad was the one at the controls for the door when Olson was chasing Julia.
7. Julia failed the QTE to get away from Olson, and was killed when Brad pulled the lever too early.
8. The distributor cap was destroyed, but Conrad brought the Coast Guard.

The achievement popped post credits.

This Achievement can be obtained in different ways, as each character can die at multiple different points through the story. I went for this Achievement after I finished a play-through and had all characters survive.

To make it easier, make sure you go into settings and turn off Quick Time Event (QTE) timers, unless you want the challenge.

Before we get into the guide I want to quickly let you know what I required to pull this off;
Make sure Conrad gets away on the boat during the thunder QTE.
When using the radio to call for help, DO NOT talk to the military.
Have Brad say we all breathed in the mist to Junior, Causing him to shoot
Have Alex get the distributor cap from Olson.
Make sure Alex stabs the person 4x during the struggle after getting the Cap.


Start by going to;
Play Alone
Scene Select
Load the Chapter called 'Junior' (the third from the last one)
New Save

You'll start off as Brad & Fliss (it could be any combo of Man/Woman I believe) with the rebreather and Olson chasing you (he'll have the distributor cap in hand).

You can fail both the QTEs here dropping the rebreather as it's not needed.

You'll then be in the next area with Junior pointing a gun at you, when in control as Brad (male) make sure he says that you all breathed in a little mist;

Skeptical
Worried
Indignent (sure we all breathed in a little)

This will prompt Junior to shoot Fliss (woman) before Himself, leaving Brad (male).

Next you'll be in a room with Alex and Julia (same thing, could be any combo of man/woman), just follow the path until Alex jumps down a hole, causing Olson to come by and a QTE. pass the QTE here making Olson go away and Julia jump down.

Continue along the path until you reach another QTE where Alex jumps over a hole towards Olson, leaving Julia behind

Continue along the path again until you reach Olson and the rats, making sure to pass the QTE here and collect the distributor cap.

Alex then picks up a knife and heads towards the next room, this will start a QTE fight, just make sure you stab the other thing and not yourself all four times.

Once Alex comes to he'll realize what he did and the game should play out from here.

Make sure you to watch the credits until the end and listen to the curator, The achievement should pop right after they finish and a preview for 'Little Hope' starts.

There's already a lot of solutions for this guide but I thought I'd just add on the one my co-op partner and I got when also going for :
Conrad

Send Conrad on the boat at the beginning of the game so you don't have to worry about him. Make sure you succeed all QTEs when he runs for the boat. If you fail the first QTE, he will be dragged back onto the boat and will be with the rest of the group on the ship; if you fail the second QTE, he gets shot.

Succeed on both and he will be unplayable for the rest of the game and alive.

Fliss

When Brad and Fliss go looking for the generator, they will have to get back up at some point; the only way up is a broken ladder. After getting the above achievement, Fliss will go down into the same hole you got this achievement at - this is the hatch that is not in the room with the ladder. Shortly after she goes into the hatch, water will rush in, and Brad will have two options to try and save her. We let the timer run out, and Fliss drowned. Brad was then able to get to the ladder they were previously looking at via the water rising him up.

Julia

Not too long after this, Brad and Julia will end up together at gun point with Junior, after the chase with Olson. It does not matter what Julia picks. The first dialogue option for Brad, my partner chose to be gentle with him, and on the second dialogue option, he was dismissive to Junior, which got Julia shot. Junior then kills himself.

End Game

After this, you will now only be able to play as Brad and Alex. Play cautious, make sure you succeed in your QTEs, and every other death at this point is then avoidable. After Julia dies, you only have about 10 minutes of game play, and then the ending cutscenes play. This should pop when you get to the credits.

First of all I apologize for my bad english. I hope you still understand everything.

Actually I´ve made this List for the "Consider all the permutations"-Achievement, because the signs are sometimes difficult to see. When you follow this list you also get the "Right there with ya, boys"-Achievement.

Joe: Dockside Market, 9:12 pm
-> Dubious
-> Bamboo Tile

Brad: Duke of Milan, 8:30 am
-> Say nothing
-> Uneasy
-> Cynical
-> Cautious
-> Apprehensive
-> Reluctant
-> Self-Assured

Alex: Duke of Milan, 5:30 pm
-> Frustrated
-> Disappointed
Wait for the timer, until Julia said, the Oxygen is ready
-> Appreciative
-> Take Camera

Fliss: Duke of Milan, 6:15 pm
-> Disapproving
-> Subdued
-> Appreciative
Wait for the timer, until the fisherboat arrives
-> Say nothing
-> Worried
-> Angry

Julia: South Pacific Wreck Site, 6:12 pm
-> Worried
-> Amused
-> Cautious
-> Relutant
-> Say nothing

Julia: Duke of Milan, 10:07 pm
-> Serious
-> Relaxed
-> Say nothing
-> Say nothing
-> Disapproved
-> Dissmissive
-> Skeptical
-> Say nothing
-> Provocative
-> Appreciative

Conrad: Duke of Milan, 11:22 pm
-> Ungag Fliss
-> Ungag Alex
-> Investigate
-> Flippant
-> Antagonistic
-> Resentful
-> Dismissive
-> Concerned
(Suceed the Heartbeat- and QTE´s - so that Conrad can take the Speedboat)
-> Grab Knife
-> Escape

Fliss: Duke of Milan, 12:12 am
-> Belligerent
-> Distraught
-> Compliant
-> Desperate
-> Hold ob
-> Anxious

The Curator
-> Confident

Fliss: Abandoned WW2 Freighter, 1:01 am
-> Assertive
-> Confident
-> Distract
-> Replace

Alex: Upper Deck, 1:43 am
-> Say nothing
-> Hide

Alex: Main Deck, 2:18 am
-> Annoyed
-> Dismissive

As Brad before jumping down, pick up the wrench

As Fliss
-> Save yourself
(Don´t go outside and miss the QTE, so Brad can kill you. That saves a lot of Time)

Julia: Cargo Hold 1, 2:52 am
-> Say nothing

Julia: Lower Deck, 3:11 am
-> Run

The Curator
-> Confident

Julia: Weather Deck, 3:32 am
-> Fearful
-> Unsettled
-> Baffled
-> Say nothing

Alex: Weather Deck, 3:43 am
-> Instuctive
-> Panicked
-> Forceful

Alex: Lower Deck, 4:05 am
-> Terse
(Ignore Generator)
-> Assertive
-> Defensive
-> Run

Alex: Lower Deck, 4:19 am
-> Skeptical
-> Dismissive
(choose this so that Julia will be shot)

Brad: Radio Room, 4:34 am
-> Attack
Miss 3 QTE´s
-> Commanding
Suceed the final QTE

After the Credits you get 2 Achievements: