| Achievement | How to unlock
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| - Completed the campaign without killing any animals.
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| - Equipped a full seat of Bear Hide clothing.
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| - You stacked 10 afflictions.
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| - You spoke with every river resident.
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| - You killed every type of animal with arrows.
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| - Dehydration AND dysentery? Are you from Oregon?
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| - You cured 30 afflictions in a single playthrough.
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| - You ate every type of plant.
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| - You slept in over 20 churches.
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| - You reached High Ground in the Campaign Mode.
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| - You visited every location type.
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| - You equipped a full set of Wolf Hide clothing.
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| - After 20 days of travel, you had every stat at 100% and no afflictions.
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| - You ate all the bad stuff in a single playthrough.
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| - You died in every possible way.
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| - You poisoned 20 wolves with tainted meat.
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| - You repaired 1000 points of raft health.
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| - You expanded your inventory to the maximum.
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| - You survived 40 days in Endless Mode without eating any plants.
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| - You started a new game with items in Aesop's bag.
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| - You survived 200 miles in Endless Mode.
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| - You fully upgraded your raft in a single playthrough.
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| - Made 50 articles of clothing.
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| - You have contracted every affliction.
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| - You lured a hostile animal into a snake.
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| - You travelled 20 miles with the raft motor running.
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| - You travelled 10 miles on the river without stopping.
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| - You are the killer of wolves.
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| - You reached The Kingdom in Campaign Mode.
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| - You survived 100 miles in Endless Mode.
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| - You reached Angel Yards in Campaign Mode.
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| - You survived 40 days in Endless Mode without sleeping in a shelter.
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| - You survived 40 days in Endless Mode without eating any meat.
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