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Cut Above Train a World-Class Surgeon

High Altitude Health Service Earn 1 Star at each hospital in the Pointy Mountains

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
14/99

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

The (Seventh) New Gold Standard Earn 108 Gold Stars
14/108

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

You Are My Ghost Learn from what might have been.

Food for the People Secure all Viper Storehouses for the people of Ashoro Springs.
0/4

No More Snakes Break the Vipers’ hold over Ashoro Foothills.

Unbreakable Defeat an unbreakable warrior.

Free Bird Free the Golden Bird from captivity.

Paths to Color Purchase all dye trade routes from the Colorful Dye Merchant.
0/5

Mother of Misfortune Win three games of Zeni Hajiki against a formidable opponent at Fortune’s Asobiya.

Hungry for More Discover four new recipes.
0/4

Handsome Yet Deadly Use Gambler’s Mark to defeat multiple enemies.
0/3

Pack Hunter Defeat an enemy using the Call of the Pack ability.

Return to Sender Kill an enemy with the Catch Arrow ability.

Not This Time Disarm a Viper’s trap.

Ultimate Vengeance Defeat Lord Saito on any difficulty.

Masterful Payout Defeat a Max Threat bounty target.

Reap the Rewards Purchase a cosmetic from the vendor using boss tokens.

Strength in Numbers Have three or more allies fighting on your side at the same time.

Tooth and Nail Defeat 6 enemies by summoning wolves to attack them when playing as Atsu.
0/6

Call the 13 Assassins Summon 13 Shadow Shinobi to fight alongside you when playing as Oyuki.
0/13

A Blasting Impression Inflict damage on 30 enemies using Explosive Arrows when playing as Nagato.
0/30

The Seven Samurai Defeat 7 enemies using Ghost Stance when playing as Jin Sakai.
0/7

Raijin’s Fury Trigger 10 lightning strikes in a single Hunt.

Six Pack Throw a Sake jar at each member of the Yōtei Six.
0/6

Death Mark Trigger 47 Bounty Perk effects against Marked enemies.
0/47