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I'd Like To Thank My Mother Win every award in a single hospital

Busman's Holiday Earn 1 Star at each hospital on Pebberley Island

Stealthily Healthily Earn 1 Star at each hospital in Close Encounters

Vote Windsock Earn 1 Star at each hospital in Off The Grid

World 1 Complete R.E.M.I.X. versions of Hogsport, Lower Bullocks & Flottering

World 2 Complete R.E.M.I.X. versions of Mitton University, Tumble & Flemington

Cut Above Train a World-Class Surgeon

Swiss Cheese Hospital Cure 100 patients from time portals in a single year

Two Point Bounty Earn 10,000 Kudosh
10000/10000

Generating Business Injure someone with an exploding machine

County-Wide Earn 15 Gold Stars
15/15

A Looming Shadow Completed Chapter 1: A Looming Shadow.

Supreme Tactician Achieved a Tactical Bonus of x3.0 or higher.

Eightfold Annihilation Defeated 8 enemies simultaneously in a Command Battle.

A Young Girl's Decision Completed Prologue: A Young Girl's Decision.

Budding Bracer Completed the training course at Balstar Channel.

Icebreaker Complete Superbug Project "Hair Removal"

Serial Collaborator Complete 50 Research Nodes
50/50

Jung at Heart Train a World-Class Psychiatrist

The Morning After the Birthday Festival Woke up at Grancel Castle.

Teach a Man to Hospital... Cure 1000 Patients
1000/1000

Dr Know Train a World-Class Researcher

Peer Reviewed Complete a Multiplayer Challenge

Bells & Whistles Conduct 25 Machine Upgrades
25/25

Low Brow Shoot 1 Monobeast

Double Digits Have a Level 10 Hospital
10/10

Give a Man a Hospital... Cure 1 Patient

NLB Historian ’26 Complete Four Negro League Storylines.

Horses in the Pen Set an opening pitcher for a bullpen game in Franchise.

Can of Corn Catch 5 fly balls in a single game. (Excludes simulated gameplay)

You’re Sure They Meant Me? Score a run with a pinch runner that has 26 speed or lower.

Defensive Run Saved As a defender, throw a player out at home plate. (Excludes simulated gameplay)

Down Low… Too Slow Use a swim move to avoid a tag while sliding into a base. (Excludes simulated gameplay)

THE SHOW 2-6 Register a 2-6 out during a game. (Excludes simulated gameplay)

A Robbery! Rob a home run. (Excludes simulated gameplay)

Who’s the New Kid? Get a hit against or strikeout any former MLB The Show cover athlete.

This is My Home Play in a user created stadium.

Patience is Golden As a batter, draw a walk. (Excludes simulated gameplay)

Baseball is Better Together Play an online or couch co-op game.

Rally Cap After entering an inning when losing, get 7 hits during that same inning. (Excludes simulated gameplay)

Don’t Call it a Rally After entering an inning when losing, get 5 hits during that same inning.
(Excludes simulated gameplay)

The Start of Something After entering an inning when losing, get 3 hits during that same inning.
(Excludes simulated gameplay)

Are You Still There? Strikeout without swinging the bat during an at-bat.

GOAT MODE Get a Hit or Strikeout while playing on GOAT difficulty. (Excludes simulated gameplay)

Going Gold Achieve "Gold" in any mini game within Road to the Show.

#1 In Your Heart Get drafted as the #1 overall draft pick in the MLB Draft. (Road to the Show)

Moving Up the Board In Road to the Show, choose to go to college and come out with a higher draft stock than before.

I Don’t Need It In Road to the Show, have 50 Show Tokens in your inventory at once.

Swing Batter Batter Take your first swing in MLB The Show 26.

The Vengeful One Witnessed Amada's past.