For this trophy, you just need to beat Diablo 2 acts 1 – 5 in nightmare difficulty which is just a harder version of normal mode. Nothing much else to include but some tips about nightmare mode below.
Things to note about Nightmare mode:
Your resistances are lowered by 40.
Some enemies have immunities to lightning, cold, fire, and magic but not often and typically only one at a time.
Enemies have larger health pools.
Enemies can be enchanted.
Enemies are aggressive.
You lose exp when you die (you claim some back when you retrieve your body, but not the full amount you lost).
Maps double in size and orientation.
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