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I use these save files, it even allows you to play chapter 5 on Trauma, but you get saves for Nightmare difficulty as well. It works for both, the main campaign and BOOH.
https://community.pcgamingwiki.com/files/file/871-painkiller-all-levels-mod/
I recently searched a legit, clean file.
I keep the save file downloaded just in case I'll play this game again as well.
Enjoy whenever you would like to re-play it. :)
no save files needed, properly unlocked via game logic