| Achievement | How to unlock
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| - Defeat the police investigation.
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| - Crush 3+ humans with Bell Crush and the Witch present.
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| - Defeat the Master Stone Mason.
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| - Kill a human affected by Manifest Fears and Witch Presence.
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| - Complete a turn without consuming AP, next turn get three kills.
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| - Defeat the Stone Mason assault.
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| - Have at least one of each room.
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| - Have three Nightlong cards active in one night.
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| - Kill the final human of a night with Encore or High Risk active.
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| - Fully drain a fleeing human.
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| - Kill three humans in the Heart Room across all runs.
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| - Sacrifice two Nightlong cards in the Sacrificial Room in one night.
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| - Complete all thirteen levels of the Nightmare mode.
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| - Compel a human into a Locked room and kill them.
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| - Defeat the priest exorcism.
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| - Play Shifting Hallways five times in a single night.
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| - Kill nine humans in the same room as the cat.
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| - Kill a human that is fleeing after seeing a body.
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| - Play three Trap cards in a turn.
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| - Spend 5 AP in the Rehearsal Room in one turn.
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| - Drain 30 Sanity in a single action.
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| - Defeat a Pathfinder without taking damage.
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| - Return a human to the same room three times.
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| - Drive two police insane in one night.
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| - Impact every human with an empty Echo Chamber.
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| - Fully drain every human in a 5+ human night.
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| - Inflict Damage five turns in a row.
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| - End the night with a kill after playing Hidden Trick.
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| - Play five Tension cards in one turn.
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| - Use Solo cards on every human in the Mirror Hall in a single night.
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| - Trigger 4+ Fleeing in a single action.
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| - Fully Drain a human by entering the Phobia Room.
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| - Drain a human for half or more of their sanity.
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| - Go 28 nights without the Heart being witnessed.
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