| Achievement | How to unlock
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| Choking Hazard (25 points) | Find the dead fish who ate an urchin.
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| Chumless (75 points) | Make it through Light and Teeth without taking damage.
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| Control (50 points) | Endure a delusion of control.
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| Escape (25 points) | Do not die alone.
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| Grandiosity (50 points) | Endure a grandiose delusion.
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| In Flow (75 points) | Make it through the dark fish delta in Flow without taking damage.
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| Jacques Cousteau (20 points) | Make your presence known in Shock.
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| Memory Leak (10 points) | Find a secret irradiated montipora and dive into ALTA's archives.
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| Minesweeper (75 points) | Make it through the bobbit lair without taking damage.
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| Over Here, Sonya! (25 points) | Winner winner frozen dinner. Find the frozen fish.
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| Overflow (50 points) | Find half of the secret montipora.
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| Persecution (50 points) | Endure a persecutory delusion.
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| Reality Check (100 points) | Endure each delusion.
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| Ryan... (25 points) | Not all voices are against you. Find the Hall of Voices.
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| Safe Passage (75 points) | Make it through the dark fish delta in Dark without taking damage.
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| Somatic (50 points) | Endure a somatic delusion.
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| Submersion (75 points) | Find every secret montipora throughout the cave network.
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| Sunk (100 points) | Complete the montipora archive in every reality.
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| Thrusters Disabled (10 points) | Do you trust ALTA?
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| Thrusters Enabled (10 points) | Let's hope you're right.
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| Videographer (25 points) | Enable the scenic screenshot mode.
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