| Achievement | How to unlock | Points
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|---|
| - Reach a score of 10,000,000,000 points. (MBL Ver. 1.1 only)
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| - Throw a Familiar at any level.
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| - Defeat Mary, the Giant Cow!
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| - Defeat Jordan, the Buried Baron!
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| - Clear Deathsmiles Version 1.1 with all maps at Level 3! (no continues, incl. EXMAP)
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| - Select Level three five times while playing. (Arcade, Normal only)
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- Double Hundred Millionaire
| - Reach a score of 200,000,000 points. (Arcade, Normal only)
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| - Defeat Tyrannosatan, the Demonic Imperator!
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| - Clear Arranged Mode without continuing at any level.
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| - Defeat Jitterbug, He who Opens the Door!
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| - Maintain Fever Mode for more than sixty seconds at any level.
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| - Reach a score of 1,000,000,000 points in IIX Mode.
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| - Clear the game in either Arcade or IIX Mode at any level.
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| - Defeat Bavaria, the God of Flames!
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| - Defeat Bigote in either Arcade or IIX Mode at any level.
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| - Defeat Satan Claws in Arcade or IIX Mode at any level.
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| - Defeat Jitterbug, He who Opens the Door!
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| - Defeat Lily in either Arcade or IIX Mode at any level.
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| - Reach a score of 100,000,000 points. (Arcade, Normal only)
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| - Defeat Deathscythe, the Wandering Reaper!
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| - Stay in Power-up Mode for more than sixty seconds at any level.
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| - Defeat a boss while in Power-up Mode.
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| - Clear the game using Plumeria without continuing.
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| - Select Level three for all stages, and clear Lost Paradise and Chateau in IIX Mode. (no continues)
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| - Clear the game. (no continues. Arcade, Normal only)
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| - Defeat Tamecos in either Arcade or IIX Mode at any level.
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| - Clear the game using Rosa without continuing.
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- Obtained all of the achievements
| - You have obtained all of the achievements.
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| - Clear the game using Souffle without continuing.
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| - Reach a score of 4,000,000,000 points.
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| - Reach a score of 6,000,000,000 points in IIX Mode.
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| - Defeat Whroon, Conjurer of the Forest!
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| - Defeat Heavy Snake in either Arcade or IIX Mode at any level.
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| - Defeat Pigeon Blood Jitterbug.
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| - Clear the game using Cattleya without continuing.
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- Spider?! I Hardly Know Her!
| - Defeat Tartaros in IIX Mode at any level.
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| - Defeat Sakura, Witch of the Swamp Wastes!
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| - Make 1,024 items of any type appear at any level.
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| - Defeat Devaria and Givaria, the Twin Wyrms!
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| - Clear the Gorge and Hades Castle having selected Level 3 for all stages. (Arcade, Normal only)
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| - Clear the game using Ranun without continuing.
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- Triple Hundred Millionaire
| - Reach a score of 300,000,000 points. (Arcade, Normal only)
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| - Defeat Mad Teddy & Mad Bunny in IIX Mode at any internal rank.
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