Complete the following achievements to unlock Microsoft Gamerscore points.
| Achievement | How to unlock | Points
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| - Place every shape correctly during Ms. Gracie's game.
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| - Collect all hidden documents.
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| - Play every cassette tape.
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| - Collect all hidden Wrongside Outimals.
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| - Listen to all of Lily's cardboard cutouts.
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| - Experience Huggy Wuggy's memories.
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| - Collect all hidden trophies.
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| - Escape Lily's Dollhouse without getting caught.
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| - We all spin for ice cream!
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| - Navigate Recycling without being attacked.
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| - Enter Sweet Street after distracting Huggy with only one projector.
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| - You'll have to pay for that!
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| - Listen to Giblet's cardboard cutout.
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| - Complete the game without launching your GrabPack hands more than 350 times.
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| - Fail to thread the needle.
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| - Listen to Chum's cardboard cutout.
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| - Escape on the train without taking damage.
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| - Complete the game without dying.
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