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A Clean Bill of Health Have a single character affected by all status ailments (both beneficial and detrimental).

From The Black Depths Catch the Colossal Squid.

Golden God You are the best!

Super Collision Course Either on (at least) your 2nd playthrough or in Hard (or greater) difficulty, conquer the fierce battle at Glaivend Basin without using any items!

Polar Angler Catch all known species of fish in The Pale Reach.

Frozen Favors Finish all side quests in The Pale Reach.

Double Vision Trounce the Twins.

Blood Rights Kill Satan with Samson

Thanatophobia WITHOUT using the Architect, complete the game dying 15 times or less

Cold Corruptions Catch all aberrations in The Pale Reach.

I came in like a Resogun Accumulate a total Wrecking combo of 1,000 in Demolition mode

Bookwyrm This is proof that you've become quite familiar with the Library. How to obtain this is kind of a secret, but if you take the time to do a bit of reading now and then, you should be pleasantly surprised.

Prime Directive Shatter Skeletron Prime.

Chatterbox Sometimes, after you've found a discovery point or when you're at a save point, you have the opportunity to press L3 to initiate a conversation between your companions. This is proof that you've experienced many Things and had a lot of Opinions about them.

Don't make me pull the trigger! Survive for 5 minutes in Demolition mode

Bloody Lust Kill Isaac with Samson

Real Estate Agent Have all possible town NPCs living in your world.

EXTRA: Unearthly Bolt Evolve the Unearthly Bolt.

Nahantu Sightseer Explore all of Nahantu.
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A Blank Card Kill Isaac with Eden

EXTRA: Big Troubler Defeat 1 Bat Dragon.

The Most Famous Hedgehog in the World Have your photos taken in Studiopolis Zone

The Book Of Secrets Kill Satan with Eden

36 Challenges This is proof that you've collected all 36 anomalous orbs. You've poked around in every nook and cranny, you've laughed, you've cried, you've questioned your assumptions... But you made it!

Lazarus' Rags Kill Isaac with Lazarus

Cook Cook 10 different recipes.

Burning times Complete a level on Master difficulty without using bombs, overdrive or boost with a custom ship

Victory over Chalcedony This nasty bundle of bowl-haircutted bad attitude has a Soma that lets him fly around in the air. He'd better give that piece of Kohaku's Spiria Core back, or he'll be sorry!

Ergophobia Earn every other trophy.

Bloodlust Defeat 10000 enemies.

ROI Buy 5 Vouchers by Ante 4

Eve's Bird Foot Kill Isaac with Eve

Broken Ankh Kill Satan with Lazarus

Fiery Trial Either on (at least) your 2nd playthrough or in Hard (or greater) difficulty, conquer the fierce battle at Igraine, the Shrine of the Fire Trial, without using any items!

Spirited Sparring Kill 500 enemies with Ultimate Skills as a Spiritborn.
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Rest Azure'd Either on (at least) your 2nd playthrough or in Hard (or greater) difficulty, conquer the fierce battle at Lefay, the Shrine of the Water Trial, without using any items!

Lost Poster Beat the Dark Room with Isaac

...Into the Fire Open the second sealed gate

The Razor Kill Satan with Eve

Rule Bender Complete any challenge run

Without a Trace Barrel through the lava, don't let anything stop you

Flipper Flip the level 6 times in Protector mode

Blacksmith Craft 300 items at an anvil.

Holder of History Unlock all lore.

A Double Take This is proof that you've acquired equipment with a doubled skill from an enemy drop. Very difficult unless you're playing in Hard difficulty or higher! There's a rumor that offering sanctified equipment to a Lord of the Land may increase the chances...

Victory over Amethyst This supposedly world-famous hero would have you believe that you defeated him more through luck than anything else, but you know the real story.

Eight Dates With Hate This is proof that you've returned alive from challenging all eight Malevolent Crucibles. Since each one only allows certain characters to enter, you'll need mastery of techniques and knowledge for each one of them.

Mecha Mayhem Do battle against the Twins, the Destroyer, and Skeletron Prime simultaneously and emerge victorious.

Boosted! Hold Super Boost for 15 seconds in Protector mode

Hireling Commander Reach level 10 with all Mercenaries.
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