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Quite the Challenge Complete Challenge 1 (Any difficulty)

Twinkle Toes Awarded by completing Time Attack 13 by setting the fastest time and without taking Mine damage

Leave No Worm Behind Complete Retro 12 with all 3 player worms alive

Stuck in the 90s Complete Retro 11-15

Blink And You'll Miss It Perform an eye transplant in under 2 minutes and 30 seconds.

Me Sane Bolt Awarded by completing Time Attack 9 in under 50 Seconds

Worminator Complete Retro 9 and kill all the enemy worms

Child's Play Complete Retro 14 without the Toy Master taking damage

Monster Hunting Find the "SAM" statue in Eclipse Bay

Scion of the Flame KO'ed every character in Arcade Mode using Kyo Kusanagi.

The Brains Of The Operation Perform a corridor brain transplant losing less than 750ml of blood.

Life's Too Short Perform a heart transplant in an ambulance in under 1 minutes 40 seconds.

Down-to-Earth Awarded by completing Time Attack 17 by setting the fastest time and without taking Fall damage 

Retrograde! Complete Retro 16-20

Treasure Hunter Find 10 collectibles in Angel Shores

Tunnel Vision Perform a corridor double kidney transplant losing less than 800ml of blood

Crate Fishing Collect all the crates on Retro 15

Hoarder of Hidden Things Find all collectibles in Angel Shores

Silent Soldier KO'ed every character in Arcade Mode using Leona Heidern.

Antarctic Expedition Spot the expedition camp

Find Willy Spot an orca

Trophy Collector Attain all Trophies! The path of the warrior demands this from those who walk on it!

Maintained Healthy Gums At Least Perform a teeth transplant in space losing less than 600ml of blood.

Double the Fun Buy your first double decker bus

Thumb Together Perfect all Dual Core Levels

The Immaculate Perfection Perfect all Speed Runs

Clone Army Have ten buses of the same model

Best Surgeon In The Universe Complete all 6 secret transplants.

It's Life Jim, But Not As We Know It Perform a heart transplant in space losing less than 800ml of blood.

Precision Instrument Time Perform a brain transplant in space losing less than 600ml of blood.

Good Job Complete Challenge 2 (Any difficulty)

A Surgeon's Merit Is Based On Speed Perform a double kidney transplant in an ambulance in under 2 minutes.

Saving the World Charge an e-bus using the loading station

The Surgery Of The Future Perform a double kidney transplant in space losing less than 700ml of blood.

Not The Time Or Place For Precision Perform a teeth transplant in an ambulance in under 1 minute and 50 seconds.

A new Job Finish 20 missions in Angel Shores (Single Player)

Expert Space Stalker Perform an eye transplant in space losing less than 1000ml of blood.

I Can See For Miles... Per Hour Perform an eye transplant in an ambulance in under 2 minutes and 10 seconds.

Best Surgeon In The World Get an A++ rating on all procedures.

Sunny View Finish 30 missions in Angel Shores (Single Player)

There Is Nothing More To Teach... Completed every achievement. Now go save lives!

Landlubber Kayak for 5km in total

You Did That? Complete Challenge 3 (Any difficulty)

All Around the Shore Unlock a bus stop in every discrict of Angel Shores (Single Player)

Lightning Bolt Awarded by completing Time Attack 6 in under 70 Seconds

Thalassophobia Overcome your thalassophobia

Old Stager Find five collectibles in Seaside Valley

Welcome Back to Seaside Valley Finish a mission in Seaside Valley

Experienced Rocker Complete a song in Hard difficulty for the first time.

Hiker Find all collectibles in Seaside Valley