Complete the following achievements to unlock Microsoft Gamerscore points.
| Achievement | How to unlock | Points
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| - Opened every handbook page.
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| - Successful finish the catastrophic event "Acidic Poison Accident".
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| - You gathered all available information before treating a patient.
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| - Play a Catastrophic Event ten times.
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| - Complete three shifts on classic mode.
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| - Finish Field Treatment in less than five minutes.
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| - Spent more than twenty minutes in Shift Overtime.
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| - Play at least one hour in each city district.
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| - Successful finish the catastrophic event "Freeway Catastrophe".
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| - Total Playtime reached fifty hours.
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| - Complete all callouts at least once.
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| - Complete all Catastrophic Events with the highest rank.
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| - Trigger Game Over from Collision.
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| - Complete all callouts with the highest rank.
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| - Save three patients in a regular shift.
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| - Move the stretcher over two miles.
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| - Complete your first shift.
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| - Sucessful transport a patient to a hospital.
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| - Finish a shift in every city district.
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| - Successful finish the catastrophic event "The Mall is on Fire".
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| - Play the same Catastrophic shift again.
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| - Find all patients during a catastrophic shift.
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| - Complete three shifts on simulation mode.
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| - Travel ten miles on foot.
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