| Achievement | How to unlock | Points
|
|---|
| Development Boy | Beat The Lab Dark World without dying | 30
|
| Golden God! | Beat the game completely | 90
|
| Lock Jaw Girl | Beat Tetanus City Dark World without dying | 30
|
| Oak Boy | Beat Chipper Grove Light World without dying | 15
|
| Psychopharmacology Boy | Beat The Clinic Dark World without dying | 30
|
| Punch Drunk | Punch 1000 things | 15
|
| Research Girl | Beat The Lab Light World without dying | 15
|
| Straight Jacket Girl | Beat The Clinic Light World without dying | 15
|
| Teak Girl | Beat Chipper Grove Dark World without dying | 30
|
| The key to it all | Find 1 Pacifier | 5
|
| Vaccine Boy | Beat Tetanus City LIght World without dying | 15
|