ExistentialEnso

Life Sentence Achieve a 5-star hospital rating in Challenge Mode in Chapter 6: Many Me.

The World Whisperer Achieve a 5-star hospital rating in Challenge Mode in Chapter 7: Mother.

Salvage Supremacy Achieve a 5-star hospital rating in Challenge Mode in Chapter 8: One Species' Trash.

World Record Achieve a 5-star hospital rating in Challenge Mode in Chapter 9: The Fourth Wall.

Quickscoped the Cabal Achieve a 5-star hospital rating in Challenge Mode in Chapter 10: Tick Tock.

A Win to Remember Achieve a 5-star hospital rating in Challenge Mode in Chapter 11: The Loamcore.

Superb Director of the Month Achieve a 5-star hospital rating in Challenge Mode on 5 levels.

Supreme Director of the Year Achieve a 5-star hospital rating in Challenge Mode on 15 levels.

Save the Galaxy Collect all Trophies.

Dream Maglev Train Attract a project of Maglev Train Station and open it on your map in "New Game" with Game Mode.

Billionaire Reach 200 billion doller in Annual Profits (Total Returns - Total Costs) on any map in "New Game" with Game Mode.

Outstanding Manager Reach 100 billion doller in Annual Subsidiary Profit in Profit Data on any map in "New Game" with Game Mode.

Railroad Buff Display all Trains at Train Museum on your map in "New Game" with Game Mode.

Legendary Manager Reach 10 trillion yen in Total Funds on any map in "New Game" with Game Mode.

Genie, I wish you free! Get 90 medals in the campaign.

King of the world Win 100 online matches.

Funfair Museum Complete chapter 5 of Riquetti Gardens.
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All the Fun of the Fair Display 13 different Funfair exhibits in a single museum.

Honourable Invention Win 3 Ribbons with a single Funfair exhibit.

Deny them your essence Achieve a 5-star hospital rating in The Voice Beyond Chapter 1: Aftermath..

Megalopolis Reach 10 million in a Population on any map in "New Game" with Game Mode.

Trillion-doller-a-year Company Reach 1 trillion yen in Total Funds on any map in "New Game" with Game Mode.