Complete the following achievements to unlock Microsoft Gamerscore points.
Achievement | How to unlock | Points
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| - Completed the game without continuing.
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| - Completed the game on Vengeance!! mode.
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| - Found the Kindergarten in Stage 4.
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| - Ate a turkey health item while at 100% HP.
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| - Found the Bridge in Stage 5.
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| - Completed a 30 hit combo with Candy.
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| - Completed the game in Co-Op with both players still alive.
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| - Completed a 30 hit combo with Loony.
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| - Completed the story with Loony (Any difficulty)
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| - Stage 5 boss got hit by 3 missiles.
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| - Found the Aliens in the cave in Stage 2.
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| - When you were told to GO GO GO, you did not!
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| - Recovered more than 100 Gray health.
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| - Completed the game using no guns.
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- Keep Rolling Rolling Rolling
| - Got hit three times by the Rolling Rock in Stage 2 Cave and Survived.
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| - Saved all the babies in Stage 4.
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- Secrets Don't Make Friends
| - Collected all secret items.
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| - Found the Rolling Rock in Stage 1.
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| - Completed the story with Candy (Any difficulty)
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| - Found the Suit enemies in the Sewer on Stage 3.
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- TIPPY TOP OF THE MOUNTAIN
| - Beat the default top score of 100,000 points.
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| - Completed the Scooter stage without taking damage.
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| - Completed a 30 hit combo with Golem.
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| - Completed the story with Golem (Any difficulty)
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- You're eating garbage, Bro
| - Ate 10 health pickups in a single game.
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