| Achievement | How to unlock
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- A Hole in your Head ( 20 points )
| - Perform 5 headshots in a row with the BIG BONER.
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- Adios George ( Beast form) ( 20 points )
| - Defeat George Beast Boss.
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- Adios George ( Human form) ( 20 points )
| - Defeat George Human Boss.
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- An Ordinary Life ( 15 points )
| - Story Progression in Act 1 - Chapter 1 ( any difficulty setting).
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- Annoying Mosquito ( 20 points )
| - Defeat Elliot Beast Boss.
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- As Evil As Dead ( 15 points )
| - Story Progression in Act 3 - Chapter 3 ( any difficulty setting).
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- Blood On The Dance Floor ( 15 points )
| - Defeat 10 enemies with the Stomp Attack.
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- Cannibal Carnival ( 15 points )
| - Story Progression in Act 2 - Chapter 2 ( any difficulty setting).
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- Demon Hunter ( 50 points )
| - Complete all chapters on Medium difficulty setting.
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- Different Perspectives ( 15 points )
| - Story Progression in Act 5 - Chapter 2 ( any difficulty setting).
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- Don't Fear the Reaper 1 ( 20 points )
| - Defeat Maras Grim ( Sister Grim) Boss.
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- Don't Fear the Reaper 2 ( 20 points )
| - Defeat Kauline Grim ( Sister Grim) Boss.
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- Don't Fear the Reaper 3 ( 20 points )
| - Defeat Giltine Grim ( Sister Grim) Boss.
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- Drunk in Public ( 10 points )
| - Knock back 3 drinks in a row.
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- Fiesta Caliente! ( 30 points )
| - Defeat 5 enemies at once using the Hot Boner.
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- Fire in the Hole! ( 15 points )
| - Defeat 3 enemies at once using the Barrels of Light.
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- Ghost Hunter ( 15 points )
| - Story Progression in Act 4 - Chapter 3 ( any difficulty setting).
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- Great Demon World Forest ( 15 points )
| - Story Progression in Act 4 - Chapter 4 ( any difficulty setting).
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- Great Demon World Village ( 15 points )
| - Story Progression in Act 4 - Chapter 2 ( any difficulty setting).
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- High in Las Vegas ( 75 points )
| - Recover all available Red Gems in the game.
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- I Defeated the Last Big Boss! ( 20 points )
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- It's a Bughunt ( 15 points )
| - Story Progression in Act 3 - Chapter 1 ( any difficulty setting).
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- Justine For All ( 15 points )
| - Story Progression in Act 4 - Chapter 6 ( any difficulty setting).
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- Legion Hunter ( 100 points )
| - Complete all chapters on Hard difficulty setting.
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- Lemon Hunter ( 20 points )
| - Complete all chapters on Easy difficulty setting.
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- Love Suicide ( 20 points )
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- Meatballs Lover ( 15 points )
| - Defeat 30 enemies with the SKULLCUSSIONER.
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- My Dying Concubine ( 15 points )
| - Story Progression in Act 3 - Chapter 2 ( any difficulty setting).
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- Nasty Headache ( 20 points )
| - Perform 5 Head Shots in a row with any weapon except Big Boner.
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- Now That's a Big Fuckin' Gun ( 15 points )
| - Defeat 40 enemies with the SKULLFEST 9000.
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- Orthodontic Pleasures ( 15 points )
| - Defeat 50 enemies with THE DENTIST.
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- Riders of the Lost Heart ( 15 points )
| - Story Progression in Act 2 - Chapter 4 ( any difficulty setting).
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- Skullblaster Master ( 15 points )
| - Defeat 50 enemies with the SKULLBLASTER.
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- Stingy Bastard ( 10 points )
| - Save more than 300 White Gems in your inventory.
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- Suburban Nightmares ( 15 points )
| - Story Progression in Act 4 - Chapter 5 ( any difficulty setting).
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- Take Me To Hell ( 15 points )
| - Story Progression in Act 2 - Chapter 1 ( any difficulty setting).
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- That's So Hot! ( 15 points )
| - Defeat 20 enemies with the HOTBONER.
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- The Big Boner ( 15 points )
| - Story Progression in Act 4 - Chapter 1 ( any difficulty setting).
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- The Bird's Nest ( 15 points )
| - Story Progression in Act 3 - Chapter 4 ( any difficulty setting).
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- The Castle of Hassle ( 15 points )
| - Story Progression in Act 5 - Chapter 3 ( any difficulty setting).
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- The Final Chapter ( 15 points )
| - Story Progression in Act 5 - Chapter 4 ( any difficulty setting).
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- The Orthodontist ( 15 points )
| - Defeat 30 enemies with the TEETHGRINDER.
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- The Puppeteer ( 30 points )
| - Perform a Head Shot right after a Leg Mutilation when the enemy is flying back in the air.
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- The Talkative One ( 15 points )
| - Defeat 20 enemies with the TEETHER.
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- Til Death Do Us Part ( 15 points )
| - Story Progression in Act 5 - Chapter 5 ( any difficulty setting).
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- Trash'em while they're out! ( 15 points )
| - Perform all 5 brutal kills on Normal Demons frozen by the Light Shot.
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- Twelve Feet Under ( 15 points )
| - Story Progression in Act 5 - Chapter 1 ( any difficulty setting).
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- What a Wonderful World ( 15 points )
| - Story Progression in Act 2 - Chapter 3 ( any difficulty setting).
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- You Go To Hell ( 5 points )
| - Start a new game for the first time. ( any difficulty setting).
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