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4-Star Freak Earn a 4-star rating for every scene on Fetish Difficulty.

Cleared 10 Trials Clear the trials from Secrets of Fighting to Captivating Goddesses.

Gold Rush Completed Treasure Hunt on at least Medium Difficulty

This stuff is good Collect 15 Carusaurum Caches

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

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

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

Mountaineer Clear the RIDGE stage perfectly!

5-Star Fiend Earn a 5-star rating for every scene on Hardcore Difficulty.

Outdrew Outlaw Defeated an Outlaw in 1 vs 1 Ranked Deathmatch

Aces High Hit the Ace of Spades spinner eleven times in five minutes.

I Had an Axeldent! Axel never stops working! Even in the Item World!

Duck Hunt Collect all 32 ducks without dying while holding a duck

I'm a PRO Beat the game in PRO mode

Psychopath Unlock all trophies.

Retro Gamer Clock in 10 hours of playing time.

SEGA All Star Earn your Star License

Gone Ape! Find half the Monkeys

Hero in a Half-Shell Unlock all Trophies

Ace of Aces Unlock all Trophies.

On Rails Finish a stage without ever changing lanes

In Space, No One Can Hear You... Complete the Space Station

10,000 BC Visit the Prehistoric Era

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

Ascension Discover Ascension

Cerny Method Roll to the end with 105 seconds (or more) remaining

Pick a Winner! Nail all enemies with the hair pick

Contact Re-established Survive for 24 Hours.

IWCA Flyweight Champion You are the Item World Champ!

Soul Salvation Complete the Church

Home Alone Complete the Apartment

SCORE ATTACK > EXTREME 4 Obtain Rank S in SCORE ATTACK > EXTREME.

Cosmic Baller Unlocked all game trophies.

Time Flies Complete the Clock Puzzle without dying in the Ice Palace

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

Halfway There! Infiltrate Section O. (SECTION Z)

Three Dollar Dave! Collect three hundred pennies!

Web Master Win an online multiplayer match.

Cross Fists as Friends It's a story about a friendship born through fisticuffs.

Cleared Very Hard Finish all chapters of the game on Very Hard.

Max Fidelity Max out every song to level 50!!

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

Killer Kill 2500 enemies

Untouchable Beat an exploration level taking no damage

"PERISCOPE" Extermination Eliminate all "PERISCOPE"s in the WATER stage!

Victor of Victorious...Victory Complete the Land of Eternal Blossoms on Normal difficulty.

Survival Class: Passed You truly are the Survival Master!

Cleared 14 Trials Clear the trials from Desperation to Giants of the Underworld.

50% Gold Collectibles Found Collect 50% of all Gold Collectibles

Tempus Neminem Manet Promoted to Master Sergeant