Medals are in-game achievements in Drake's Fortune earned by completing specific objectives, such as finding treasures, reaching kill milestones with specific weapons, or performing unique combat maneuvers. Each medal rewards points used to unlock rewards. Trophies were introduced via a post-launch update and correspond to the existing medal system; however, previously earned medals do not retroactively unlock their respective trophies. The original PlayStation 3 release features 47 medals and 48 trophies, including the platinum trophy awarded for completing the set.
The PlayStation 4 version, Drake's Fortune Remastered (included in The Nathan Drake Collection), updated the trophy list by adding new challenges, removing others, or adjusting trophy rarities. In this version, rewards are no longer tied to medal points, rendering medals a legacy feature. The remastered version contains a total of 54 trophies when including the "Extended Collection".
The "Extended Collection" is a free, on-disc content set for the remastered version that adds additional trophies. These supplementary trophies do not count toward the platinum trophy and were reportedly added to provide extra content while staying within PlayStation's standard trophy limits.
Medals and trophies[]
| Name | Requirement | Points | Original | Remastered |
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| First Treasure | Find one treasure. | 5 | 
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| Beginner Fortune Hunter | Find five treasures. | 5 |
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| Novice Fortune Hunter | Find 10 treasures. | 5 |
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| Enthusiast Fortune Hunter | Find 15 treasures. | 10 |
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| Intermediate Fortune Hunter | Find 20 treasures. | 10 |
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| Skilled Fortune Hunter | Find 25 treasures. | 10 |
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| Proficient Fortune Hunter | Find 30 treasures. | 10 |
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| Advanced Fortune Hunter | Find 35 treasures. | 10 |
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| Professional Fortune Hunter | Find 40 treasures. | 10 |
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| Senior Fortune Hunter | Find 45 treasures. | 10 |
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| Expert Fortune Hunter | Find 50 treasures. | 10 |
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| Crack Fortune Hunter | Find 55 treasures. | 10 |
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| Master Fortune Hunter | Find 60 treasures. | 50 | 
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| Relic Finder | Find the Strange Relic. | 20 |
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| Master Thief Collection | Find all treasures and the Strange Relic. | — | — | 
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| Brutal Brawler | Kill five enemies with a brutal combo. | 10 |
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| Brutal Slugger | Kill twenty enemies with a brutal combo. | 30 |
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| Brutal Expert | Kill five enemies in a row with a brutal combo. | 40 |
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| Steel Fist | Kill five enemies with a single punch, after softening them up with gunfire. | 10 |
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| Steel Fist Expert | Kill five enemies in a row with a single punch, after softening them up with gunfire. | 40 |
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| Stealth Attacker | Kill twenty enemies melee-attacking from behind. | 30 |
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| Master Ninja | Kill fifty enemies melee-attacking from behind. | — | — |
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| 10 Headshots | Kill ten enemies with headshots. | 5 |
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| 20 Headshots | Kill twenty enemies with headshots. | — | — |
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| 30 Headshots | Kill thirty enemies with headshots. | 10 |
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| 100 Headshots | Kill one hundred enemies with headshots. | 30 |
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| 250 Headshot | Kill 250 enemies with headshots. | — | — |
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| Headshot Expert | Kill five enemies in a row with headshots. | 20 |
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| Dyno-Might! | Kill three enemies with one explosion. | 10 |
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| Expert Dyno-Might | Kill three enemies with one explosion five times. | 30 |
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| Triple Dyno-Might! | Kill three enemies with one explosion. | — | — |
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| Dyno-Might Master | Kill three enemies with one explosion five times. | — | — |
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| Run-and-Gunner | Kill twenty enemies without aiming with the L1 button. | 10 |
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| Hangman | Kill ten enemies by aiming while hanging from a ledge. | 10 |
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| Grenade Hangman | Kill ten enemies with grenades by aiming while hanging from a ledge. | 10 |
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| Survivor | Kill fifty enemies in a row without dying. | 50 |
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| Survivor | Kill 75 enemies in a row without dying. | — | — |
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| 50 Kills: PM - 9mm | Kill fifty enemies with the PM - 9mm. | 10 |
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| 50 Kills: 92FS - 9mm | Kill fifty enemies with the 92FS - 9mm. | 10 |
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| 50 Kills: Micro - 9mm | Kill fifty enemies with the Micro - 9mm. | 10 |
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| 20 Kills: Wes - 44 | Kill twenty enemies with the Wes - 44. | 10 |
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| 20 Kills: Desert - 5 | Kill twenty enemies with the Desert - 5. | 10 |
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| 30 Kills: MP40 | Kill thirty enemies with the MP40. | 10 |
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| 50 Kills: AK-47 | Kill fifty enemies with the AK-47. | 10 |
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| 50 Kills: M4 | Kill fifty enemies with the M4. | 10 |
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| 30 Kills: Dragon Sniper | Kill thirty enemies with the Dragon Sniper. | 10 |
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| 50 Kills: Moss - 12 | Kill fifty enemies with the Moss - 12. | 10 |
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| 50 Kills: SAS - 12 | Kill fifty enemies with the SAS - 12. | 10 |
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| 30 Kills: M79 | Kill thirty enemies with the M79. | 10 |
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| 20 Kills: Mk-NDI | Kill twenty enemies with Mk-NDI grenades. | 10 |
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| 30 Kills: Mk-NDI | Kill thirty enemies with Mk-NDI grenades. | — | — |
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| Shoot Some B-Roll For Elena | Enter Photo Mode. | — | — |
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| These Walls Can't Stop Me | Beat Chapter 5 "The Fortress" in less than 10 minutes. | — | — |
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| Up a Short Creek Without a Paddle | Beat Chapter 12 "Heading Upriver" in less than 5 minutes. | — | — |
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| A Speedy Reunion | Beat Chapter 16 "The Treasure Vault" in less than 7 minutes. | — | — |
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| Charted! - Easy | Finish the game on Easy without changing the difficulty. | 30 |
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| Charted! - Normal | Finish the game on Normal without changing the difficulty. | 70 |
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| Charted! - Hard | Finish the game on Hard without changing the difficulty. | 100 |
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| Charted! - Crushing | Finish the game on Crushing without changing the difficulty. | 150 |
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| Platinum trophy | Obtain all other trophies. | — | 
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Extended Collection[]
| Name | Requirement | Trophy |
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| Supernatural Born Killers | Kill five descendants with a sniper rifle. |
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| Cosplay | Kill an enemy while playing as an alternate character costume other than Drake. |
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| YOLO Fortunately | Beat the last chapter without dying on Normal difficulty or harder. |
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| The Fat and the Furious | Complete a continuous speed run as Doughnut Drake. |
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| Follow the Leader | Compare statistics with friends online. |
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| Need for Speed | Achieve a complete speed run time of less than two hours and thirty minutes. |
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| Cheater Cheater | Activate a tweak. |
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| Charted! - Brutal | Finish the game on Brutal without changing the difficulty. |
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