Achievement | How to unlock
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<3 | Obtained the Life Pot!
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A Fine Blade | Obtained the Blade!
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A Gift from Santa | Obtained the Fireball!
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Arm Bar | Obtained the Arms Barrier!
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Armored Feline | Defeated monster x!
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Ate A Red Flower | Defeated toroko...
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Big Fish | Defeated ironhead!
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Boss Attack A Rank | Completed Boss Attack in Less Than 10:00.
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Boss Attack B Rank | Completed Boss Attack in Less Than 12:00.
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Boss Attack C Rank | Completed Boss Attack in Less Than 15:00.
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Boss Attack S Rank | Completed Boss Attack in Less Than 8:00.
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Cave Story Clone | Defeated g-clone!
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Cold Hearted Snake | Obtained the Snake!
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Count to 290 | Obtained the 290 Counter!
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Coward | Bad ending
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Curse Broken | Best ending.
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Doggy Style | Beat Omega with Jenka's Puppy.
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Don't Get Lost | Obtained the Map System!
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Ducking Awesome | Obtained the Nemesis!
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Evil to the Core | Defeated the Undead Core!
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Fish Preserve | Spared eggfish.
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Freakin' Laser Beamz | Obtained the Spur!
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Ghost in the Clinic | Defeated puu black!
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Girly Gun | Obtained the Machine Gun!
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Happy Birthday Pixel! | Played Cave Story on April 29th!
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Hate Made Flesh | Defeated ballos!
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Heart of the Island | Defeated the Core!
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Heavy Medal | Defeated the Red Ogre!
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Here's Johnny! | Obtained the Alien Medal!
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Home, Sweet Home | Returned Mister Little back home.
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House Call | Defeated the Doctor!
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Huge Toad | Defeated balfrog!
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I Like It Hard! | Completed hard mode.
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I'm Juggernaut... | Found and collected all Life Capsules.
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I've Got Your Back | Obtained the Iron Bond!
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Kings of Power | Accumulated XX,XXX of damage.
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Ladies' Man | Obtained chako's lip stick!
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Little Man | Found mister little!
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Machine Monster | Defeated omega!
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Magic Missile | Obtained the Missile Launcher!
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Mimiga Bodyguard | Defeated curly...
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Mimiga Hero | Mask mimiga ending.
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Miserable | Defeated misery!
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Mr. Clean | Obtained the Bubbline!
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Muscle, MD. | Defeated the Muscle Doctor!
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Only If You're Greedy... | Defeated the Twin Dragons!
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Panty Raider | Obtained curly's panties!
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Pea Shooter | Obtained the Polar Star!
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Rabid Mimiga | Defeated igor!
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Return the Favor | Saved curly brace.
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Rock Bustin' | Defeated balrog, yet again...
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Sanctuary A Rank | Completed Blood Stained Sanctuary in Less Than 4:00.
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Sanctuary B Rank | Completed Blood Stained Sanctuary in Less Than 5:00.
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Sanctuary C Rank | Completed Blood Stained Sanctuary in Less Than 6:00.
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Sanctuary S Rank | Completed Blood Stained Sanctuary in Less Than 3:00.
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Shtuff Happens | Normal ending.
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So easy, so so easy! | Completed easy mode.
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Supa Star! | Obtained the Whimsical Star!
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Super, thanks for asking! | Obtained the Super Missile Launcher!
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Swollen Mech | Defeated heavy press!
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To Hell and Back | Completed blood stained sanctuary.
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Toroko Wins! | Beat by Toroko.
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Tow Me A Rope | Obtained the Tow Rope!.
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Turbocharged! | Obtained the Turbocharge!.
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Unstoppable | No life capsules (best ending).
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Untouchable | No life capsules (good ending).
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Wanna Fight? | Defeated balrog!
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Weapons of Mass Destruction | Found and collected all Missile upgrades.
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What A Fun Guy! | Obtained ma pignon!
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What Are YOU?!? | Defeated balrog, again...
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Who's the Boss? | Completed boss attack.
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Wind Fortress A Rank | Completed Wind Fortress in Less Than 5:00.
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Wind Fortress B Rank | Completed Wind Fortress in Less Than 6:00.
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Wind Fortress C Rank | Completed Wind Fortress in Less Than 7:00.
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Wind Fortress S Rank | Completed Wind Fortress in Less Than 4:00.
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