| Achievement | How to unlock
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| - Don't touch any surfaces for 5 seconds (Endless Mode not eligible).
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| - Complete the game with Rock and Purist active.
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| - Complete the game with 1 or fewer maximum HP.
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| - Unlock everything in the Soul Shop.
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| - Clear Level 1 with every Skull active.
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| - Complete the game with Wrath, Famine, Marathon, and Toxin active.
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| - Complete a Daily Challenge.
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| - Complete 10 Daily Challenges.
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| - On Level 8, defeat 50 Flapps and Eternal Star with the same Force Nova.
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| - Clear Level 100 in Endless Mode.
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| - Clear Level 50 in Endless Mode.
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| - Clear Level 25 in Endless Mode.
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| - Complete the game with Lightning, Wrath, Undying, Furor, and Swarm active.
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| - Complete the game with Final Destination active.
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| - Destroy a vending machine. Who's the real victim, anyway?
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| - Win 250 Slot Machine prizes.
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| - With the Undying Skull on, complete the game without picking up any damage upgrades.
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| - On Level 8, defeat both Twin Astrals with falling platforms.
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| - Forsake your only true friend.
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| - On Level 8, defeat Kur with one steady stream of Vera bullets.
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| - Complete the game after entering and achieving glory in all Glory Zones.
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| - Complete the game with Marathon, Famine, and Bankruptcy active.
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| - Complete the game with at least 3 Prototypes and no System Restore.
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| - Complete the game with 1 HP remaining (and no armor).
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| - Complete the game with High Tide, Marathon, Wrath, Undying, and Destiny active.
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| - On Level 8, survive for 60 seconds without taking damage during The Perforator fight.
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| - On Level 8, defeat Shatterbeak without letting him use any interruptible abilities.
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| - Without Bankrupt active, complete the game without picking up any nuts or nut-granting Augs.
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| - On Level 8, defeat Death Lotus with all mini-Lotus spawn points occupied.
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| - With the High Tide Skull on, complete the game without picking up any maximum health upgrades.
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| - Start a third run in a single game session.
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| - Complete the game with 8 Powers.
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| - Clear Level 3 with every Skull active.
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| - On Level 8, defeat Vile Visage by breaking his horn, then only using basic attacks.
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| - On Level 8, defeat all four Rollsters within a single three-second window.
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| - End a run with at least 50 Soul Chips.
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| - With no Soul Purchases, complete a Marathon run within 30 minutes.
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| - Have 250 nuts at once (Endless Mode not eligible).
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| - Equip four non-matching Cores at the same time.
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| - Deliver a boss' killing blow with its weakness.
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| - Complete the game within 20 minutes.
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| - Have 50 Maximum HP at once (Endless Mode not eligible).
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| - Complete the game having taken damage ten or fewer times.
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| - Complete the game with the default primary weapon and no Powers.
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