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Use your ears instead of the motion tracker. Instead of hiding all the time throw a distraction (flare, noisemaker, whatever) and walk (upright, not crouched) to where you need to go. The more you move the more the alien will "lose" you.
Don't be afraid to die a few times to explore ahead, to see if there's loot in a room. Accept you're dead in 30 seconds anyway. Nightmare mode is not for Achievement hunting. Explore everything, you need every loot you find.
Save every time you progress, even if you progressed a little, like picked up an item. Stand in front of the save station, even you have to wait for the cooldown. This way you minimize things you have to re-do.
Kill every Android, aim for the head. I did my Nightmare run without killing humans, to save ammo.
Use humans as bait, and while they are dying, you can rush in the elevator.
Good luck
Yeah, that's the room where people quit the game. Here's what you do:
After you pick it up, run up the same stairs she ran up and hide behind the box at the top.
Wait for the three people to walk down the stairs - they won't see you if you're behind the box.
When they're gone, walk in the direction they came from. Take care not to be seen by the one dude up there, or smash his head in with the wrench.
At the top, go left and through the door. You can run, they won't follow you through the door.