| Achievement | How to unlock
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|---|
| Angelic | Get the Angel ending.
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| Antique Watch | Complete the treasure storyline.
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| Bad deeds | Reach minimum karma.
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| Devilish | Get the Devil ending.
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| Double trouble | Complete the Jessie and Bessie storyline.
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| Envy | Complete the Star storyline.
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| For science! | Complete Crossley's storyline.
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| Gluttony | Complete the Sheriff storyline.
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| Good deeds | Reach max Karma.
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| Greed | Complete the Mayor storyline.
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| Hardcore! | Complete the game in Hardcore mode.
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| Helping hand | Donate to the food bank.
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| Hoopin' | Score five baskets.
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| Lust | Complete the Lawrence storyline.
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| Meow | Pet the cat.
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| Money Bags | Have $4000 in your wallet.
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| New Game+ | Complete the game in New Game+ mode.
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| Please don't do that | Spit in 10 burgers at the burger bar.
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| Pride | Complete the Burt storyline.
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| Salty | Listen to all of the fisherman's tale.
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| Sign of the times | Set the Riverport sign to something other than BURT.
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| Sloth | Complete the Kyle storyline.
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| Spood! | Find the secret spider.
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| Storyteller | Read every bedtime story.
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| Super Surgeon | Earn the max rank at the surgery.
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| Taste Admiral | Earn the max rank at the burger bar.
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| The Real Deal | Get all four endings.
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| The end? | Saw one of the four different endings.
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| Welcome to your new life | Killed Bobby and started your life of crime.
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| Wrote the book | Collect all the lost pages.
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| Wrote the word | Collect your first lost page.
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| You are the seventh | Kill Bruce.
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