Complete the following achievements to unlock Microsoft Gamerscore points.
Achievement | How to unlock | Points
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| - Run fifty Marketing Campaigns.
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| - Activate every Robo-Janitor prototype in Chasm 24.
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| - Conduct 25 Machine Upgrades.
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| - Earn 1 Star at each hospital on Pebberley Island.
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| - Get a Curing Spree on Topless Mountain.
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| - Train a World-Class Surgeon.
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| - Have a Level 5 De-lux Clinic at the Underlook Hotel.
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| - Have a Level 10 Hospital.
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| - Have a Level 20 Hospital.
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| - Train a World-Class Researcher.
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- Environmentally Friendliest
| - Receieve the highest possible Eco Rating.
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| - Cure a patient in the Herb Garden.
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| - Knock the socks off of Bartholomew F. Yeti.
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| - Injure someone with an exploding machine.
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| - Maximise your Green Energy capacity in Windsock.
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- High Altitude Health Service
| - Earn 1 Star at each hospital in the Pointy Mountains.
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| - Shoot 10 Monobeasts in a row without missing.
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- I'd Like To Thank My Mother
| - Win every award in a single hospital.
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| - Complete Superbug Project "Hair Removal".
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| - Reach $50,000,000 Organisation Value.
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| - Train a World-Class Psychiatrist.
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| - Cure a patient with Frogborne.
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- Life, the Universe and Everything
| - Complete Wave 42 on Topless Mountain.
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| - Complete the "Cheesier Gubbins" Research Project in Swelbard.
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| - Complete a Multiplayer Challenge.
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| - Expose fifty Alien Infiltrators.
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| - Complete fifty Research Nodes.
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| - Earn one Star at each hospital in Close Encounters.
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| - Unlock every plot in Overgrowth.
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- Teach a Man to Hospital...
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- The (Fourth) New Gold Standard
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- The (Second) New Gold Standard
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- The (Third) New Gold Standard
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| - Earn one star at each hospital in Off The Grid.
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| - Complete fifty Research Projects.
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| - Complete R.E.M.I. X versions of Hogsport, Lower Bullocks and Flottering.
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| - Complete R.E.M.I. X versions of Mitton University, Tumble and Flemington.
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