Achievement | How to unlock
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| - Bounce a ball on your head 25 times in a row.
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| - Bounce a ball on your head 50 times in a row.
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| - Possess 5 hearts at the same time.
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| - Possess 10 hearts at the same time.
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| - Possess only a Broken Heart.
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| - Purchase all 3 items in a shop.
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| - Complete the game in 15 rooms or less.
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| - Possess 2 spiked hearts at the same time.
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| - Defeat a divekicking Diver with 1 heart left.
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| - Exit through a door before defeating all enemies.
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| - Defeat 5 or more enemies with a single attack.
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| - Get crushed by the final block in the Stack Room.
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| - Possess 5 unique hearts at the same time.
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| - Be surrounded by 5 or more Gnats at the same time.
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| - Clear a normal room without attacking.
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| - Receive 200% or more entries for a Gizmo.
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| - Kill a Bat with fire without attacking it.
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| - Progress through 10 consecutive rooms without pressing jump.
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| - Complete the game without warps or shortcuts.
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| - Defeat a Totem without waking it up nor help from Gizmos.
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| - Complete a bridge that never goes back down.
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| - Possess 10 unique hearts at the same time.
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| - Progress through 10 consecutive rooms without running left.
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| - Purchase 2 items in a shop.
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| - Defeat a Boss without attacking nor help from Gizmos.
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