| Achievement | How to unlock
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| A dog's worst friend | Sacrifice Winston.
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| A Fool's Gold | Pay Marino your so called debt.
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| A Last Wish | Decipher the first line of the Dismal Man's Poem.
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| A Lead Bottle | Decipher the second line of the Dismal Man's Poem.
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| Addict | Become addicted to a substance.
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| Al-Hazred Jr. | Cast 30 occult spells.
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| Are you OKAY? | Lose all your sanity.
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| Arkham Vigilante | Kill 25 Mob men.
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| Biologist | Fully unlock an entity on bestiary.
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| Bitter Dreams | Sacrifice Sonia Greene Carter to the Black Pyramid.
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| Bullseye! | Deal 30 Critical Attacks.
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| Crawford's Disciple | Obtain all of Crawford's personal belongings.
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| Delivered from Compassion | Acquire Mark of Cleansing: Compassion.
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| Delivered from Curiosity | Acquire Mark of Cleansing: Curiosity.
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| Delivered from Friendship | Acquire Mark of Cleansing: Friendship.
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| Delivered from Longing | Acquire Mark of Cleansing: Longing.
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| Delivered from Love | Acquire Mark of Cleansing: Love.
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| Delivered from Self-respect | Acquire Mark of Cleansing: Self-respect.
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| Devil's Concubine | Became Richter's model.
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| Devoured by the Street | Unlock Game Over Screen: Devoured by the Street.
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| Devoured in Nithon | Unlock Game Over Screen: Devoured in Nithon.
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| Divine | Complete the game with Divine Belief System.
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| Do you also see the dreams? | Complete the game with Schizophrenia.
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| Document Worm | Read 10 documents.
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| Esoteric | Complete the game with Esoteric Belief System.
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| Extraterrestrial Hunter | Kill 10 extra-terrestrial entities.
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| Fallen to the Stygian Questions | Unlock Game Over Screen: Fallen to the Stygian Questions.
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| Freud | Invest 10 points in the Psychology Skill.
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| Ghost Whisperer | Talk with 5 spirits.
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| Greed Summons Doom | Unlock Game Over Screen: Greed Summons Doom.
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| Hippocrates | Invest 10 points in the Medicine Skill.
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| Holmes | Invest 10 points in the Investigation Skill.
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| Homo Homini Lupus | Sacrifice the Man Lost in Nithon to the Black Pyramid.
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| Humane Saboteur | Use weakened poison on the mob men in the Distillery.
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| Humanist | Complete the game with Humanistic Belief System.
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| Hunter of the Cult | Kill 20 Cultist.
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| I'm too old for this... | Complete the game with an Elder Character.
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| Is it really over? | Complete the game.
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| Is this what I deserve master? | Sacrifice Werner to the Black Pyramid.
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| Jack | Invest 10 points in the Subterfuge Skill.
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| Jung was right | Gain an ANGST Level.
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| Knowledge is Damnation | Learn All Spells.
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| Lobotomized | Unlock Game Over Screen: Lobotomized.
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| Lonely, Lost and Numb | Arrive at the Black Pyramid alone.
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| Maniac | Acquire mental condition: Mania.
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| Martyr | Finish the game without having none of your companions nor henchmen killed and make the ultimate sacrifice.
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| Materialist | Complete the game with Materialist Belief System.
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| Mishap! | Suffer 30 Critical Failures.
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| Never trust a man | Sacrifice Outsider to the Black Pyramid.
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| Nihilist | Complete the game with Nihilist Belief System.
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| Nirvana | Witness His majesty.
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| Not in this game | Reach level 10.
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| Olympian | Invest 10 points in the Athletics Skill.
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| Paranoiac | Acquire mental condition: Paranoia.
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| Pesticide | Kill 30 Bestial Enemies.
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| Pinocchio | Lie 5 times.
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| Psychopath | Acquire mental condition: Psychopathy.
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| Rasputin | Invest 10 points in the Occult Skill.
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| Rational | Complete the game with Rational Belief System.
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| Risen from the Dead | Unlock Game Over Screen: Risen from the Dead.
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| Schizophrenic | Acquire mental condition: Schizophrenia.
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| Silver Tongue | Invest 10 points in the Speechcraft Skill.
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| Skull Collector | Collect 20 human skulls in a single playthrough.
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| Spell Doctor | Cast 10 enhanced spells.
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| Stabbed to Death | Unlock Game Over Screen: Stabbed to Death.
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| Stomach of Steel | Win the drinking contest with Carrion Jack.
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| Suicide Mission | Sacrifice Nameless Soldier to the Black Pyramid.
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| Surgeon | Maintain a scalpel.
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| Terrorized by a Daemon | Unlock Game Over Screen: Terrorized by a Daemon.
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| Tesla | Invest 10 points in the Science Skill.
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| The Academic | Create an Academic character.
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| The Aristocrat | Create an Aristocrat character.
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| The Benefactor | Give Cornelius' Watch to the Tunnel Kids.
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| The Craftsman | Craft 10 different items.
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| The Criminal | Create an Criminal character.
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| The dearest of the Tzaritze | Complete the game with Depraved Occultist Background.
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| The Despised | Attain hostile status against all factions (Mob and Cult).
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| The Duelist | Invest 10 points in the Melee Skill.
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| The Explorer | Create an Explorer character.
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| The Gunslinger | Invest 10 points in the Firearms Skill.
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| The Investigator | Create an Investigator character.
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| The Lockpick | Lockpick 20 locked containers.
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| The Medium | Summon the ghost in room 302 of Essex Hotel.
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| The Occultist | Create an Occultist character.
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| The Performer | Create an Performer character.
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| The Reaper's Headache | Die 10 times.
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| The Shadow | Invest 10 points in the Stealth Skill.
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| The Sleeper | Rest 30 times.
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| The Soldier | Create an Soldier character.
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| The Survivalist | Invest 10 points in the Survival Skill.
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| The Tar Pit of Guilt | Exterminate all Abenaki in Arkham.
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| The Undertaker | Bury the Widow.
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| The Voyage of the Brain | Unlock Game Over Screen: The Voyage of the Brain.
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| There you go! | Give the poor man a match (burning man)
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| Tobacco King | Amass 1500 Cigs at a time.
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| Trapped Eternally in Nithon | Unlock Game Over Screen: Trapped Eternally in Nithon.
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| World Dart Champion | Drive Hershel mad.
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| You Have Gone Insane | Unlock Game Over Screen: You Have Gone Insane.
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| You Have Lost The Key | Unlock Game Over Screen: You Have Lost The Key.
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| You Have Perished | Unlock Game Over Screen : You Have Perished.
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| Zorro | Enter 5 battles with a mask equipped.
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