One thing I liked about Danthegeek's Underground Hideout was that when an achievement or quest was completed it add something to the decor of the hideout. Like Boone's NCR Berret or a robot in the fish tank for killing / opening House's Life suport chamber.
If it were possible to get or make trophies what kind of thing would you like to see.
For me I would like to make a Deathclaw mounted head. Like the double brahmin headed wallbanger that we can see in the house crafting part of the E3 Trailer.