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Infernal Offerings Donate a total of 10 Severed Hands.
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Viva the Violet Complete all Hallelujah Hollow trials

Fledgling Collector Find your first treasure.

Hero Worship Drustan's faith in his brother remains steadfast.

Wayfarer Visit all of the areas in the game.
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Sweet Melody Capture a creature that creates a beautiful melody.

Dark Boy Beat the Depths/Necropolis without taking damage

Mama's Boy Beat the Womb/Utero without taking damage

Ostiophobia Defeat the son.

Intensive Care Remove all spears from Trico as quickly as possible.

Mom's Knife Kill Satan with Isaac

Lock, Stock, and Barrel Give Trico every single barrel.

Finally Home Complete every Adventure level in The Journey Home.

Skirmish - Chapter XIII Finish the levels from Chapter XIII in Squire difficulty

Abomination Domination Complete Overgrown Temple on Adventure or Apocalypse difficulty.

The Polaroid Beat Cathedral 5 times

Submerged Mystery Capture a mysterious creature lurking beneath the water's surface.

Solitary Met a strange person in a strange place

The Price of Knowledge Exacter Dunmire gains the knowledge he seeks.

Deft Digger Capture a creature that loves to dig holes in the ground.

Magical Milestones Visited many places on pacts.

Full Master Earn all Gold Medals available in Mastery Challenge

The Negative Beat Sheol 5 times

Master of Masters Reach master rank 200.

The Road Traveled Fulfilled all pacts for Remorse.

Survival Skills Complete Dingy Jungle without using a healing potion or losing a life.

Faithful Stomund, Captain of the Fidelis is greeted at the Empyrean.

Took this thing on a test flight Complete Arcade mode with a custom made ship, at Veteran difficulty level

Isaac's Tears Kill Isaac with Isaac

Chemophobia Defeat the trademarked chemical.

Occasio Calva Complete Kairos Gate.

Stylish Sorcerer Acquired 60 selectable raiments.

Chill Out Defeat 5 mobs with a single Ice Wand attack.

Ultra, Man! If yer gonna fight, give it your all, pal. Performing 100 Ultra Combos oughta do it, eh?

Platinum Platinum trophy

S Rank Achieve an S Rank and unlock the Crow Wings

Pandamonium Complete the Panda Plateau secret mission.

Dressed for the Fest Collect all of the boy's costumes and equip them.

Celestial Illusion Capture a fantastical creature that floats through the sky.

Syngenesophobia Defeat the brothers.

The Chest Beat the Chest

Katagelasticism Mock the traitor.

Lone Champion Complete Lone Fortress on Adventure or Apocalypse difficulty.

Thy Strength Runneth Over Life level or magic level reached 99.

Hard Times To escape death is to beat the strongest of the strong. Finish Arcade Mode on Hardest, kid!

Single Impact Defeat The Scale

A Queen's Rest Sophesia bestows a final favour.

Creatures of the Earth Capture a hole-digging creature from every region.

Veteran Collector Find all treasure within a single locale.

Team Player A 1-on-1 fight is fun, but it's more fun with friends! Try fighting in a Team Battle!