| Achievement | How to unlock
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| Berlin Party Animal | All special events at the Berlin festival successfully completed.
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| Bomb-happy in Munich | Put out all the fires around the bomb explosion in Munich before they could spread any further.
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| Campaign Champion | 500 events successfully completed in the EMERGENCY 5 campaign.
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| Campaign Hero | Played through the EMERGENCY 5 campaign in its entirety.
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| Campaigner (1) | Completed the first events of the EMERGENCY 5 campaign.
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| Campaigner (2) | 50 events successfully completed in the EMERGENCY 5 campaign.
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| Campaigner (3) | 250 events successfully completed in the EMERGENCY 5 campaign.
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| Challenge Player (1) | 100 events completed in a row in the "Challenge Mode" in EMERGENCY 5's Free Play mode.
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| Challenge Player (2) | 250 events completed in a row in the "Challenge Mode" in EMERGENCY 5's Free Play mode.
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| Challenge Player (3) | 500 events completed in a row in the "Challenge Mode" in EMERGENCY 5's Free Play mode.
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| Challenge Winner (1) | 10 events completed in a row in the "Challenge Mode" in Free Play.
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| Challenge Winner (2) | 25 events completed in a row in the "Challenge Mode" in Free Play.
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| Challenge Winner (3) | 50 events completed in a row in the "Challenge Mode" in Free Play.
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| Competitive Player (1) | 100 events successfully completed in a "Competitive" Multiplayer Mode.
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| Competitive Player (2) | 500 events successfully completed in a "Competitive" Multiplayer Mode.
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| Competitive Player (3) | 1000 events successfully completed in a "Competitive" Multiplayer Mode.
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| Cooperative Player (1) | 100 events successfully completed in a "Cooperative" Multiplayer Mode.
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| Cooperative Player (2) | 500 events successfully completed in a "Cooperative" Multiplayer Mode.
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| Cooperative Player (3) | 1000 events successfully completed in a "Cooperative" Multiplayer Mode.
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| Endless Player (1) | 100 events successfully completed in an endless game of EMERGENCY 5.
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| Endless Player (2) | 250 events successfully completed in an endless game of EMERGENCY 5.
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| Endless Player (3) | 500 events successfully completed in an endless game of EMERGENCY 5.
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| Endless Winner (1) | 10 challenge events completed in a row during a single endless session.
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| Endless Winner (2) | 25 challenge events completed in a row during a single endless session.
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| Endless Winner (3) | 50 challenge events completed in a row during a single endless session.
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| Extreme Event Player (1) | Completed the first challenge events of the EMERGENCY 5 campaign.
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| Extreme Event Player (2) | 50 challenge events successfully completed in the EMERGENCY 5 campaign.
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| Extreme Event Player (3) | 250 challenge events successfully completed in the EMERGENCY 5 campaign.
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| Federal Cross of Merit | Saved the lives of both the US President and the German Chancellor.
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| Fire Chief | Put out lots of fires in EMERGENCY 5.
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| First Steps | Successfully completed the EMERGENCY 5 training level.
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| Flooded, not Stirred | Rescued all of Hamburg's flood victims before they died.
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| Gold-plated | Got at least a gold medal in all the events in EMERGENCY 5.
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| Gone to the Dogs | Recovered all of Munich's avalanche victims in record time.
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| Hamburg Party Animal | All special events at the Hamburg festival successfully completed.
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| Hang Glider Specialist | Provided an exemplary performance in saving, treating and transporting the Munich hang glider.
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| Ladies' Man | Provided much-needed assistance during Berlin's earthquake.
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| Lifesaver | Successfully treated lots of injured people in EMERGENCY 5.
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| Munich Party Animal | All special events at the Munich festival successfully completed.
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| Party Animal King | All special events at all festivals in EMERGENCY 5 successfully completed.
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| Rack and Ruin | Found all the buried people from Hamburg's plane crash without a hitch.
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| Shining Hero | Saved as many people as possible from radiation in Berlin.
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| Ship Ahoy | Kept the fire at Hamburg's port under complete control.
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| Silver-plated | Got at least a silver medal in all the events in EMERGENCY 5.
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| Spending Spree | Acquired all the emergency vehicles in the EMERGENCY 5 campaign.
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| Tank-Buster Buster | Successfully arrested and taken away lots of offenders in EMERGENCY 5.
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| The Not-so-Grim Reeper | Arrested all the offenders on Hamburg's Reeperbahn before any passersby were injured.
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| Tram Hero | Saved, treated and transported all the victims of the Munich tram accident in record time.
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| Win Across the Board | Successfully brought all the Berlin Marathon bombers in for questioning.
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