| Achievement | How to unlock
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|---|
| A taste for blood | Complete the game.
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| Anarchy in the UK | Turn a district to hostile status.
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| At dawn we row | Take a ride with Doctor Swansea.
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| Bloody roots | Find the recollection of Paulus Aurelianus.
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| Bury the hatchet | Defeat McCullum.
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| Death on stage | Defeat Doris.
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| Defeat the beast | Defeat Fergal.
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| From here to eternity | Go to the Shelter and rest...
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| Hail Mary | Defeat Mary.
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| Hippocratic oath | Heal 10 citizens.
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| Interview with the vampire | Take care of Dorothy's fate.
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| Just take a bite | Embrace Clay during your first meeting with him.
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| Keep your distance | Find all ranged weapons.
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| London's burning | Turn all districts to hostile status.
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| Lore keeper | Gather all collectibles.
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| Merciful release | Let Clay live during your first meeting with him.
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| Not even once | Finish the game without killing any citizens.
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| Pest control | Eat 10 rats.
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| Prepare to die | Take care of Aloysius's fate.
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| Sacrificial lamb | Take care of Sean's fate.
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| Solid metal gear | Upgrade a weapon to level 5.
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| That's better | Upgrade a weapon with a module.
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| The Dying Swansea | Take care of Swansea's fate.
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| The tools of the profession | Find all melee weapons.
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| Unlife is strange | Save this poor plant with water.
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| Unnatural Disaster | Defeat The Disaster.
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| Weapons of choice | Find all off-hand weapons.
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| Work in progress | Upgrade a weapon.
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