Trophy | How to unlock
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- A Hole in your Head (Silver)
| - Perform 5 headshots in a row with the BIG BONER.
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- Adios George (Beast form) (Bronze)
| - Defeat George Beast Boss.
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- Adios George (Human form) (Bronze)
| - Defeat George Human Boss.
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- An Ordinary Life (Bronze)
| - Story Progression in Act 1 - Chapter 1 (any difficulty setting).
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- Annoying Mosquito (Bronze)
| - Defeat Elliot Beast Boss.
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| - Story Progression in Act 3 - Chapter 3 (any difficulty setting).
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- Blood On The Dance Floor (Bronze)
| - Defeat 10 enemies with the Stomp Attack.
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- Cannibal Carnival (Bronze)
| - Story Progression in Act 2 - Chapter 2 (any difficulty setting).
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| - Complete all chapters on Medium difficulty setting.
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- Different Perspectives (Bronze)
| - Story Progression in Act 5 - Chapter 2 (any difficulty setting).
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- Don't Fear the Reaper 1 (Bronze)
| - Defeat Maras Grim (Sister Grim) Boss.
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- Don't Fear the Reaper 2 (Bronze)
| - Defeat Kauline Grim (Sister Grim) Boss.
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- Don't Fear the Reaper 3 (Bronze)
| - Defeat Giltine Grim (Sister Grim) Boss.
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| - Knock back 3 drinks in a row.
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- Fiesta Caliente! (Bronze)
| - Defeat 5 enemies at once using the Hot Boner.
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- Fire in the Hole! (Bronze)
| - Defeat 3 enemies at once using the Barrels of Light.
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- Fleming's Pride (Platinum)
| - Complete all game's Trophies.
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| - Story Progression in Act 4 - Chapter 3 (any difficulty setting).
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- Great Demon World Forest (Bronze)
| - Story Progression in Act 4 - Chapter 4 (any difficulty setting).
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- Great Demon World Village (Bronze)
| - Story Progression in Act 4 - Chapter 2 (any difficulty setting).
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| - Recover all available Red Gems in the game.
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- I Defeated the Last Big Boss! (Silver)
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| - Story Progression in Act 3 - Chapter 1 (any difficulty setting).
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| - Story Progression in Act 4 - Chapter 6 (any difficulty setting).
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| - Complete all chapters on Hard difficulty setting.
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| - Complete all chapters on Easy difficulty setting.
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| - Defeat 30 enemies with the SKULLCUSSIONER.
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- My Dying Concubine (Bronze)
| - Story Progression in Act 3 - Chapter 2 (any difficulty setting).
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| - Perform 5 Head Shots in a row with any weapon except Big Boner.
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- Now That's a Big Fuckin' Gun (Bronze)
| - Defeat 40 enemies with the SKULLFEST 9000.
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- Orthodontic Pleasures (Bronze)
| - Defeat 50 enemies with THE DENTIST.
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- Riders of the Lost Heart (Bronze)
| - Story Progression in Act 2 - Chapter 4 (any difficulty setting).
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- Skullblaster Master (Bronze)
| - Defeat 50 enemies with the SKULLBLASTER.
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| - Save more than 300 White Gems in your inventory.
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- Suburban Nightmares (Bronze)
| - Story Progression in Act 4 - Chapter 5 (any difficulty setting).
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| - Story Progression in Act 2 - Chapter 1 (any difficulty setting).
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| - Defeat 20 enemies with the HOTBONER.
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| - Story Progression in Act 4 - Chapter 1 (any difficulty setting).
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| - Story Progression in Act 3 - Chapter 4 (any difficulty setting).
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- The Castle of Hassle (Bronze)
| - Story Progression in Act 5 - Chapter 3 (any difficulty setting).
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- The Final Chapter (Bronze)
| - Story Progression in Act 5 - Chapter 4 (any difficulty setting).
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- The Orthodontist (Bronze)
| - Defeat 30 enemies with the TEETHGRINDER.
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| - 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 (Bronze)
| - Defeat 20 enemies with the TEETHER.
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- Til Death Do Us Part (Silver)
| - Story Progression in Act 5 - Chapter 5 (any difficulty setting).
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- Trash'em while they're out! (Bronze)
| - Perform all 5 brutal kills on Normal Demons frozen by the Light Shot.
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- Twelve Feet Under (Bronze)
| - Story Progression in Act 5 - Chapter 1 (any difficulty setting).
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- What a Wonderful World (Bronze)
| - Story Progression in Act 2 - Chapter 3 (any difficulty setting).
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| - Start a new game for the first time. (any difficulty setting).
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