Calm In the Face of Death - 30
While on your last Rose, kill 5 Enemies without activating Hysteria
I did this on Nightmare first try. When you first get your Hysteria ability after passing through the door with flames in the windows, just keep moving around using your clock bombs to kill 5 of the ruin guys, making sure not to pick up any roses they might drop. Was a piece of piss this way.
Also, might I suggest you change the bit about telling people to play American Mcgees Alice last, considering it's the first game surely it would be wiser for people to play it before Madness Returns. Just a friendly suggestion.