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The Worm Stirs Defeat Elianne the Starved on Veteran Mode.

Adyr's Chosen Defeat General Engstrom on Veteran Mode.

Promise Kept Defeat the Unbroken Promise on Veteran Mode.

Brought Low Defeat the Bringer Trio (Bringer of Stillness, Bringer of Silence and Bringer of Nullity) in the Cistern on Veteran Mode.

Conqueror of Hardships Reach an ending on Veteran Mode.

Fickle Fortune Reach an ending with the Pre-upgraded Weapons and Random Loot modifiers enabled.

Inefficient Medicine Reach an ending with the Ironman and Withered Health modifiers enabled.

Trail of the Dead Reach an ending with the Random Enemies and Withered Health modifiers enabled.

Making Do Reach an ending with the Withered Health and the Random Loot modifiers enabled.

Come What May Reach an ending with the Random Loot and Random Enemies modifiers enabled.

A Gruelling Journey Reach an ending with the Tremendous Vestige Decay and Ironman modifiers enabled.

Lord of Slaughter Reach an ending with the Ironman and Enemy Density modifiers enabled.

Indomitable Reach an ending with Random Enemies and Loot, Enemy Density, Tremendous Vestige Decay modifiers on.

Lord of The Fallen Earn all trophies.

Ironclad Collect all armour pieces.
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Weapon Collector Collect all weapons.
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Lord of the Risen Reach the Adyr ending.

Part of the Divine Damarose the Marked receives her divine reward.

Inferno Adept Collect all Inferno spells.
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Throwable Collector Collect all throwables.
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Radiant Adept Collect all Radiance spells.
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Umbral Adept Collect all Umbral spells.
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Lingering Moments View all Umbral stigmas.

None Shall be Spared Defeat all bosses.
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In Light we Walk Reach the Radiant ending.

Fallen Defeat Adyr, the Bereft Exile.

Vengeful Reflection An Umbral imprint of Isaac faces the Lightreaper.

Altered Prospects Start a new game with a modifier enabled.

Back to the Void Reach the Umbral ending.

Trinket Collector Collect all rings and pendants.
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A Hunger Sated Defeat Elianne the Starved.

Salvation in Blood Fully upgrade the Sanguinarix.

A Trace of Venom Kukajin concludes her business in Mournstead.

The Last Step The Iron Wayfarer's journey finally ends.

Gesture Collector Collect all gestures.
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Hero Worship Drustan's faith in his brother remains steadfast.

A Queen's Rest Sophesia bestows a final favour.

The King is Dead Defeat the Sundered Monarch.

What Sights Contained Within Collect all Umbral Eyes.
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Ammunition Collector Collect all ammo types.
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Wayfarer Visit all of the areas in the game.
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The Price of Knowledge Exacter Dunmire gains the knowledge he seeks.

Rune Master Fully socket a 3-rune weapon or shield.

Travels Resumed Sparky is liberated.

A Shadow Dispelled Defeat the Scarlet Shadow.

Antanas' Legacy The value of Andreas of Ebb's friendship is made clear.

Hunt's End Defeat the Lightreaper.

Without Purpose Thehk-Ihir leaves Mournstead.

Judgement Defeat Judge Cleric, the Radiant Sentinel.

Faithful Stomund, Captain of the Fidelis is greeted at the Empyrean.