| Achievement | How to unlock
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| - Pay Marino your so called debt.
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| - Decipher the first line of the Dismal Man's Poem.
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| - Decipher the second line of the Dismal Man's Poem.
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| - Become addicted to a substance.
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| - Fully unlock an entity on bestiary.
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| - Sacrifice Sonia Greene Carter to the Black Pyramid.
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| - Deal 30 Critical Attacks.
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| - Obtain all of Crawford's personal belongings.
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- Delivered from Compassion
| - Acquire Mark of Cleansing: Compassion.
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| - Acquire Mark of Cleansing: Curiosity.
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- Delivered from Friendship
| - Acquire Mark of Cleansing: Friendship.
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| - Acquire Mark of Cleansing: Longing.
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| - Acquire Mark of Cleansing: Love.
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- Delivered from Self-respect
| - Acquire Mark of Cleansing: Self-respect.
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| - Unlock Game Over Screen: Devoured by the Street.
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| - Unlock Game Over Screen: Devoured in Nithon.
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| - Complete the game with Divine Belief System.
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- Do you also see the dreams?
| - Complete the game with Schizophrenia.
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| - Complete the game with Esoteric Belief System.
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| - Kill 10 extra-terrestrial entities.
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- Fallen to the Stygian Questions
| - Unlock Game Over Screen: Fallen to the Stygian Questions.
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| - Invest 10 points in the Psychology Skill.
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| - Unlock Game Over Screen: Greed Summons Doom.
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| - Invest 10 points in the Medicine Skill.
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| - Invest 10 points in the Investigation Skill.
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| - Sacrifice the Man Lost in Nithon to the Black Pyramid.
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| - Use weakened poison on the mob men in the Distillery.
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| - Complete the game with Humanistic Belief System.
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| - Complete the game with an Elder Character.
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- Is this what I deserve master?
| - Sacrifice Werner to the Black Pyramid.
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| - Invest 10 points in the Subterfuge Skill.
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| - Unlock Game Over Screen: Lobotomized.
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| - Arrive at the Black Pyramid alone.
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| - Acquire mental condition: Mania.
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| - Finish the game without having none of your companions nor henchmen killed and make the ultimate sacrifice.
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| - Complete the game with Materialist Belief System.
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| - Suffer 30 Critical Failures.
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| - Sacrifice Outsider to the Black Pyramid.
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| - Complete the game with Nihilist Belief System.
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| - Invest 10 points in the Athletics Skill.
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| - Acquire mental condition: Paranoia.
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| - Acquire mental condition: Psychopathy.
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| - Invest 10 points in the Occult Skill.
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| - Complete the game with Rational Belief System.
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| - Unlock Game Over Screen: Risen from the Dead.
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| - Acquire mental condition: Schizophrenia.
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| - Invest 10 points in the Speechcraft Skill.
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| - Collect 20 human skulls in a single playthrough.
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| - Unlock Game Over Screen: Stabbed to Death.
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| - Win the drinking contest with Carrion Jack.
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| - Sacrifice Nameless Soldier to the Black Pyramid.
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| - Unlock Game Over Screen: Terrorized by a Daemon.
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| - Invest 10 points in the Science Skill.
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| - Create an Academic character.
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| - Create an Aristocrat character.
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| - Give Cornelius' Watch to the Tunnel Kids.
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| - Craft 10 different items.
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| - Create an Criminal character.
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- The dearest of the Tzaritze
| - Complete the game with Depraved Occultist Background.
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| - Attain hostile status against all factions (Mob and Cult).
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| - Invest 10 points in the Melee Skill.
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| - Create an Explorer character.
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| - Invest 10 points in the Firearms Skill.
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| - Create an Investigator character.
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| - Lockpick 20 locked containers.
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| - Summon the ghost in room 302 of Essex Hotel.
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| - Create an Occultist character.
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| - Create an Performer character.
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| - Invest 10 points in the Stealth Skill.
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| - Create an Soldier character.
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| - Invest 10 points in the Survival Skill.
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| - Exterminate all Abenaki in Arkham.
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| - Unlock Game Over Screen: The Voyage of the Brain.
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| - Give the poor man a match (burning man)
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| - Amass 1500 Cigs at a time.
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- Trapped Eternally in Nithon
| - Unlock Game Over Screen: Trapped Eternally in Nithon.
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| - Unlock Game Over Screen: You Have Gone Insane.
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| - Unlock Game Over Screen: You Have Lost The Key.
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| - Unlock Game Over Screen : You Have Perished.
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| - Enter 5 battles with a mask equipped.
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