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Not Today Contract, and recover from, the Bubonic Plague

Canonized Manage to make your Legend Protagonist a Saint

Can't Touch This Have an infected Barony at the maximum Epidemic Resistance

Started from the Bottom now we're ERE As an Adventurer, buy an Estate in Byzantium and lead your line to become Emperors

Rags to Riches to Rags to Riches Starting as a Count, rule an Empire, become an Adventurer, then rule an Empire again

Train Dispatcher Send 25.000 passengers to their destination in Campaign mode of the game.

Deputy Station Superintendent Gain 15.000.000 game money in Campaign mode of the game.

Senior Station Superintendent Gain 35.000.000 game money in Campaign mode of the game.

Complete "Ready mode 1/8" Complete "Ready mode 1/8" in 60 days.

Complete "Ready mode 2/8" Complete "Ready mode 2/8" in 30 days.

Complete "Ready mode 4/8" Complete "Ready mode 4/8" in 30 days.

Complete "Ready mode 5/8" Complete "Ready mode 5/8" in 30 days.

Complete "Ready mode 6/8" Complete "Ready mode 6/8" in 30 days.

Complete "Ready mode 7/8" Complete "Ready mode 7/8" in 30 days.

Complete "Ready mode 8/8" Complete "Ready mode 8/8" in 30 days.

DCZ: Moving Mountains Complete all scenarios on Tharandter Rampe: Dresden - Chemnitz

BR 612: Regional Runner Operate the DB BR 612 for 600 kilometres

LZN: You're a Jack of all trades! Complete all scenarios on S-Bahn Zentralschweiz: Luzern - Sursee

HSC: First Day on the Job Complete the Horseshoe Curve scenario 'Honk for the Camera'

HSC: Does it Ever End!? Complete 10 services on Horseshoe Curve

It's a Zhurong way to the top Explore Mars using the Zhurong Rover.

Mars Horizon Collect all Trophies in Mars Horizon

Space is Hard Win the Race to Mars on hard difficulty or above

Space is Very Hard Win the Race to Mars on very hard difficulty

Survival Skill Level 4 Pass 80 levels in Survival mode

Crappie Master Complete the Crappie Master III challenge

Level 10 Reach player level 10.

Maximum Flight Successfully complete a day where you manage the maximum number of flights.

Environmentally Friendliest Receive the highest possible Eco Rating

Character Development Train Roderick Cushion to Level 5 at Plywood Studios

Good VIBErations Achieve a high VIBE rating at Fitzpocket Academy

Sick-in-the-Mud Complete Wave 18 at Mudbury Festival

Arts & Plaster Casts Earn 1 Star at each hospital in Culture Shock

The (Sixth) New Gold Standard Earn 99 Gold Stars
12/99

Besterizer Send 100 cured patients through the Yesterizer in Clockwise-above-Thyme
0/100

The (Seventh) New Gold Standard Earn 108 Gold Stars
12/108

It's a Wind-up Collect 20 patients in one trip with a Pantomobile

You Got All the Best Lines Reach the top of every league table at once for 3 months

Clean Bill O'Health Collect every Trophy in Two Point Hospital

Furry Good Review Knock the socks off of Bartholomew F. Yeti

Life, the Universe and Everything Complete Wave 42 on Topless Mountain

Symbiosis Unlock every plot in Overgrowth

First Livestock Get familiar with animal husbandry.

It’s Easier Together Prepare for and invite settlers.

Feeding the People Make sure you have enough food.

Expansion Make sure you have enough resources.

Hunting Challenge Hunt smaller and larger animals.

Ghost Town Ghost Find the ghost haunting Ghost Town.

Mine exploration Get deeper into the Amalia mine.

Where is Owl? Find Owl and make her return.