| Achievement | How to unlock
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| - Kill a monster with a Revolver.
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| - Collect Marv, Third Lung and Pulp mementoes in one run.
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| - Find three Golden Meats total.
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- Can I be more unfortunate?
| - Put your hands into the talking toilet.
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| - Enter the White Room on Meat War.
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| - Enter the Field Room on Meat War.
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| - Collect Huge Chin and Nose with Teeth mementos in one run.
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- Don't interrupt my research!
| - Kill a monster with a Map.
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- Don't play with fire, kids
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| - Find your first Golden Meat.
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| - Kill a monster with an Axe.
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| - Complete three floors total.
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| - Kill a monster with a Shotgun.
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| - Kill a monster with a pistol.
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| - Complete one floor in Co-op.
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| - Complete hundred floors total.
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| - Complete twenty floors total.
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| - Complete twenty floors without dying.
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- I'll give this one a 0 star rating
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| - Kill 1000 monsters total.
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| - Get every memento and open the final door.
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| - Kill a monster with a Tommygun.
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| - Enter the Murder Room on Meat War.
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| - Complete 500 floors total.
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| - Enter the White Room on MEATZONE.
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| - Enter the Field Room on MEATZONE.
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| - Enter the Murder Room on MEATZONE.
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| - Complete five floors without dying.
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| - Enter the Torture Room on MEATZONE.
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| - Enter the Val Room on Meat Zone.
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| - Buy a key from Golden Eye Taker.
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| - Buy a key from Pile of Meat.
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| - Destroy a wall by eating an item.
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| - Find a multy barrel shotgun.
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| - Kill She in the flashback.
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| - Complete any floor without using your weapons once.
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| - Enter the Torture Room on Meat War.
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| - Complete fifty floors total.
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| - Kill anyone with your Huge Chin.
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| - Meet Rose for the first time.
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| - Kill an Eyetaker with Meat Spear.
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| - Kill your Meat Bro in Co-op while having Traitorous Bastard memento.
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- Uh, Which Key is the Right One?
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| - Kill a monster with a Pipe.
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| - Finish any floor without taking damage.
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| - Kill a monster with a Vein Whip.
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| - Ressurect your Meat Bro in Co-op.
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- Where are those diamonds?
| - Destroy fifty walls total.
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