| Achievement | How to unlock
|
|---|
| Basement Boy | Complete the basement without taking damage
|
| Cains Eyepatch | Collect 50+ pennies in one play through
|
| Dark Boy | Complete the depths without taking damage
|
| Everythings Terrible! | Complete the full game 6 times
|
| Golden God! | 100% the game
|
| I have sticker fingers... | You defeated Gish!
|
| I Killed Mom! | kill mom...
|
| I need a hug... | You defeated C.H.A.D.!
|
| It Lives! | Complete the full game 9 times
|
| Judas's Fez | Complete the full game
|
| Lil Chubby | Defeat all bosses in the caves
|
| Lokis Horns | Defeat all bosses in the depths
|
| Maggys Wig | Collect 7+ container hearts in one play through
|
| Mamas Boy | Complete the full game without taking damage
|
| Moms Contact | stay out of moms things!
|
| Moms Pill Bottle | mom needs her pills! donate blood.
|
| Money = Power | Complete the full game 8 times
|
| Monstros Tooth | Defeat all bosses in the basement
|
| Mr. Mega! | Kids shouldnt play with matches...
|
| My head hurts... | You defeated Steven!
|
| Spelunker Boy | Complete the caves without taking damage
|
| The Bag | Complete the full game with Cain
|
| The Bandage | Make a Super Meat Boy!
|
| The Bean | you dont wanna know where this bean has been...
|
| The Book of Sin | Destroy the 7 Sins!
|
| The Common Cold | Dirty needles... eww
|
| The Cross | Complete the full game with Maggy
|
| The D6 | Complete the full game with ???
|
| The Fetus | Complete the full game 5 times
|
| The Gamekid | i lost mine in the arcade...
|
| The Halo | Give mom a taste of her own medicine!
|
| The Nail | Complete the full game 3 times
|
| The Necronomicon | Call death upon all of them!
|
| The Noose | Complete the full game 2 times
|
| The Parasite | Kids shouldnt play with dead things...
|
| The Quarter | Complete the full game 4 times
|
| The Radioactive Spider | Complete the basement
|
| The Robo-Baby | Complete the full game with Judas
|
| The Rock | I like to break things...
|
| The Shears | I've lost my head one too many times...
|
| The Spelunker | Complete the Caves
|
| The Wafer | Complete the full game 7 times
|