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TX-Sector Wizard Complete the Standard and Wizard Goals on TX-Sector™

Season 6 Wizard Complete all the standard goals and wizard goals on every season 6 table

Season 7 Wizard Complete all the standard goals and wizard goals on every season 7 table

Light Speed Earn 1,000 points from a Quick Pitch question in Scene It? Sci-Fi.

Distorted Buzzer Buzz in and correctly answer 25 Distorted Reality questions from Scene It? Sci-Fi.

Clip Geek Correctly answer 20 Movie Clip questions from Scene It? Sci-Fi.

Environmentally Friendliest Receive the highest possible Eco Rating

Character Development Train Roderick Cushion to Level 5 at Plywood Studios

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

The (Sixth) New Gold Standard Earn 99 Gold Stars
1/99

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

The (Seventh) New Gold Standard Earn 108 Gold Stars
1/108

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

Saw It Coming User uses a Tendency Counter on a play that results in a turnover

HSC: For Freights Sake! Complete all scenarios on Horseshoe Curve

HSC: Collection Finished! Collect all of the route tasks on Horseshoe Curve

Qualified Winner Complete the Qualified Winner l Challenge

Almost There! Complete the Almost There! l Challenge