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Survival Star Get all stars in Survival mode.

Lunar Medalist Beat The Moon challenge on "I am Death Incarnate" difficulty

Double Double Have a Level 20 Hospital

Alaskan Expert Beat the Anchorage challenge on "I am Death Incarnate" difficulty

The New Colossus Obtain all trophies.

RAMBO COMPLETE ALL THE DAY I LEVELS IN SINGLE PLAYER

First Team Soldier Beat the "The Adventures of Gunslinger Joe" on "I am Death Incarnate" difficulty or higher

Kodiak Expert Beat the Kodiak Islands challenge on "I am Death Incarnate" difficulty

Army Vet Beat "The Deeds of Captain Wilkins" on "I am Death Incarnate" difficulty or higher

Challenge Master Complete all levels in Challenge mode.

Cocktail Master Hear all of the cocktail trivia.

Venusian Expert Beat the Venus challenge on "I am Death Incarnate" difficulty

...Lest You Be Judged Complete the grand finale of
A Cause to Daikon For.

Doctor's Orders Take once a day for a week

Mapmatician See every area in the game

99 Bricks Build a tower with 99 bricks in endless survival challenge.

Sake Connoisseur Hear all of the sake trivia.

Master Prospector Get all four gold stars in the same playthrough.

Beer Cicerone Hear all of the beer trivia.

Nick of Time Evacuate a soldier whose bleed-out timer is still running

My Own Way Reconcile with Rin in the end.

Smarter than the Smarties Beat game on Extreme difficulty

Wine Sommelier Hear all of the wine trivia.

Honey, I can see Hell from here! Complete the grand finale of
Hell's Where the Heart Is.

It Looked Easy Enough Complete the Challenge Mode

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

Dr Know Train a World-Class Researcher

High Brow Shoot 10 Monobeasts in a row without missing

Sub Expert Beat the Submerged challenge on "I am Death Incarnate" difficulty

Death is only the Beginning Complete the grand finale of A
Spirited Seven Nights' Haunting.

Until We Meet Again... Watch Rin set out on a new journey in the end.

Jung at Heart Train a World-Class Psychiatrist

New Area Kill Hush for the first time

Like a Boss Finish the campaign in Elite mode

Dig In, Y'all! Whomp up a mess o' vitals and
eat the heck out of 'em!

Crouching Child, Raging Demon Take out the final boss while in
Demon form.

I GOT A FEVER FEVER MODE FRENZY IN THE ARCADE FOR 120 SECONDS

Speed. Precision. Win a normal race match within 80 seconds without dropping any bricks.

Headhunter You completed Assassin's Run with 100% accuracy using only head shots

The Horror... The Horror... Experience all of the endings for
the Fishy Tales of the Nekomata.

Medal Apprentice Get a medal from half of the levels in the Medal challenge.

Time-Traveling Bride Reach a new ending with Catherine.

Master wizard Complete all trials.

Xavier Mind Control an Ethereal. Single player only.

A Woman's Roar Reach a new ending with Katherine.

Hard Quest Completed Complete your quest on Hard difficulty.

Perfect start Build a tower with 99 bricks in endless survival challenge without losing any hearts.

Fear the Furrious Feline! Conquer all Caves of Evil
with Okoi.

Snappy Collector Collect all the flowers before any leaves fall.

Time Management You finished Chain Kill or Bend Time Massacre without failing any wave, including bonuses