| Achievement | How to unlock
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| A Hole in your Head ( 20 points ) | Perform 5 headshots in a row with the BIG BONER.
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| Adios George ( Beast form) ( 20 points ) | Defeat George Beast Boss.
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| Adios George ( Human form) ( 20 points ) | Defeat George Human Boss.
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| An Ordinary Life ( 15 points ) | Story Progression in Act 1 - Chapter 1 ( any difficulty setting).
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| Annoying Mosquito ( 20 points ) | Defeat Elliot Beast Boss.
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| As Evil As Dead ( 15 points ) | Story Progression in Act 3 - Chapter 3 ( any difficulty setting).
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| Blood On The Dance Floor ( 15 points ) | Defeat 10 enemies with the Stomp Attack.
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| Cannibal Carnival ( 15 points ) | Story Progression in Act 2 - Chapter 2 ( any difficulty setting).
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| Demon Hunter ( 50 points ) | Complete all chapters on Medium difficulty setting.
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| Different Perspectives ( 15 points ) | Story Progression in Act 5 - Chapter 2 ( any difficulty setting).
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| Don't Fear the Reaper 1 ( 20 points ) | Defeat Maras Grim ( Sister Grim) Boss.
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| Don't Fear the Reaper 2 ( 20 points ) | Defeat Kauline Grim ( Sister Grim) Boss.
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| Don't Fear the Reaper 3 ( 20 points ) | Defeat Giltine Grim ( Sister Grim) Boss.
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| Drunk in Public ( 10 points ) | Knock back 3 drinks in a row.
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| Fiesta Caliente! ( 30 points ) | Defeat 5 enemies at once using the Hot Boner.
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| Fire in the Hole! ( 15 points ) | Defeat 3 enemies at once using the Barrels of Light.
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| Flat Lust ( 20 points ) | Defeat Justine Boss.
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| Ghost Hunter ( 15 points ) | Story Progression in Act 4 - Chapter 3 ( any difficulty setting).
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| Great Demon World Forest ( 15 points ) | Story Progression in Act 4 - Chapter 4 ( any difficulty setting).
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| Great Demon World Village ( 15 points ) | Story Progression in Act 4 - Chapter 2 ( any difficulty setting).
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| High in Las Vegas ( 75 points ) | Recover all available Red Gems in the game.
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| I Defeated the Last Big Boss! ( 20 points ) | Defeat Fleming Boss.
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| It's a Bughunt ( 15 points ) | Story Progression in Act 3 - Chapter 1 ( any difficulty setting).
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| Justine For All ( 15 points ) | Story Progression in Act 4 - Chapter 6 ( any difficulty setting).
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| Legion Hunter ( 100 points ) | Complete all chapters on Hard difficulty setting.
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| Lemon Hunter ( 20 points ) | Complete all chapters on Easy difficulty setting.
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| Love Suicide ( 20 points ) | Defeat Paula Boss.
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| Meatballs Lover ( 15 points ) | Defeat 30 enemies with the SKULLCUSSIONER.
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| My Dying Concubine ( 15 points ) | Story Progression in Act 3 - Chapter 2 ( any difficulty setting).
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| Nasty Headache ( 20 points ) | Perform 5 Head Shots in a row with any weapon except Big Boner.
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| Now That's a Big Fuckin' Gun ( 15 points ) | Defeat 40 enemies with the SKULLFEST 9000.
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| Orthodontic Pleasures ( 15 points ) | Defeat 50 enemies with THE DENTIST.
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| Riders of the Lost Heart ( 15 points ) | Story Progression in Act 2 - Chapter 4 ( any difficulty setting).
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| Skullblaster Master ( 15 points ) | Defeat 50 enemies with the SKULLBLASTER.
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| Stingy Bastard ( 10 points ) | Save more than 300 White Gems in your inventory.
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| Suburban Nightmares ( 15 points ) | Story Progression in Act 4 - Chapter 5 ( any difficulty setting).
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| Take Me To Hell ( 15 points ) | Story Progression in Act 2 - Chapter 1 ( any difficulty setting).
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| That's So Hot! ( 15 points ) | Defeat 20 enemies with the HOTBONER.
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| The Big Boner ( 15 points ) | Story Progression in Act 4 - Chapter 1 ( any difficulty setting).
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| The Bird's Nest ( 15 points ) | Story Progression in Act 3 - Chapter 4 ( any difficulty setting).
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| The Castle of Hassle ( 15 points ) | Story Progression in Act 5 - Chapter 3 ( any difficulty setting).
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| The Final Chapter ( 15 points ) | Story Progression in Act 5 - Chapter 4 ( any difficulty setting).
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| The Orthodontist ( 15 points ) | Defeat 30 enemies with the TEETHGRINDER.
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| The Puppeteer ( 30 points ) | Perform a Head Shot right after a Leg Mutilation when the enemy is flying back in the air.
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| The Talkative One ( 15 points ) | Defeat 20 enemies with the TEETHER.
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| Til Death Do Us Part ( 15 points ) | Story Progression in Act 5 - Chapter 5 ( any difficulty setting).
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| Trash'em while they're out! ( 15 points ) | Perform all 5 brutal kills on Normal Demons frozen by the Light Shot.
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| Twelve Feet Under ( 15 points ) | Story Progression in Act 5 - Chapter 1 ( any difficulty setting).
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| What a Wonderful World ( 15 points ) | Story Progression in Act 2 - Chapter 3 ( any difficulty setting).
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| You Go To Hell ( 5 points ) | Start a new game for the first time. ( any difficulty setting).
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