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Vengeance Denied Complete Dimension of the Machine in single player.

Patron Of The Parts Obtained all aircraft, special weapons, and upgrade parts.

Nothing But Skull Complete a brain transplant by throwing it in.

Armor-Retentive (Middle Rift) Craft the entire set of Middle Rift armor.

ACE OF ACES Completed all campaign mode missions on ACE difficulty with an S rank.

MRP Aplenty Obtained 40,000,000 MRP in total.

The Painless Maze Complete E4M6: The Pain Maze on Nightmare without taking damage.

Getting there Complete 50 feats

Backstab Your Way to the Top Reach level 30 as a Rogue.

First Success Complete an alien organ transplant.

Frequent Flyer Flew a total of 76,500 km in campaign mode.

Shub's Bud Complete Quake on Nightmare in single player.

Scourge Done Slick Complete Scourge of Armagon on Nightmare in single player.

Conspiracy on Faynore Successfully complete all of the quests given by the Elves of Faynore.

SKIES UNKNOWN Obtained all Trophies.

Brainstorm Perform a brain transplant in an ambulance in under 1 minute 30 seconds.

Rogue Ranger Complete Dissolution of Eternity on Nightmare in single player.

Otherworldly Complete Dimension of the Past on Nightmare in single player.

High Achievers Reach the Final Rift Forge in the High Rift.

WORLD CLASS SURGEON FINISH EACH AND EVERY PUZZLE IN THE LAB

Machinehead Complete Dimension of the Machine on Nightmare in single player.

Won't Even Need Glasses! Perform a corridor eye transplant losing less than 1250ml of blood

Great Old One You have conquered all the realms of the Elder Gods. Congratulations.

Open Really Wide Perform a corridor teeth transplant losing less than 550ml of blood

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

Don't Even Need A Bucket Perform a corridor heart transplant losing less than 900ml of blood

Faster Than a Speeding Bullet Block 100 projectiles using the claw.

FOCUS... STEADY... SCORE 1 000 000+ PTS IN 5 ARCADE GAMES IN A ROW

NOBEL PRIZE WINNER ALL LAB LEVELS SUCCEEDED WITH PERFECT BONUS... GOOD LUCK

Made It Complete the game.

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

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

Veteran Complete Arcade mode on Veteran difficulty

Master Complete Techno Forest on Master difficulty

Fea(s)ts! Complete 100 feats

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

Armor-Retentive (High Rift) Craft the entire set of High Rift armor.

Nex Incarnate Complete all trophies

High Plains Rifter Reach the end of the High Rift without dying.

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

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.

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

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

Pacifist Pride Clear any of Area 1 - 12 without firing your gun.

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

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

Always Baguetting Better Get an A++ on a Rampage level

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