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Data from Steam — Steam Web API Terms of Use. Last updated .
| Achievement | How to unlock | Unlocked by | Rarity |
|---|---|---|---|
| The Real Deal | Get all four endings | 2.9% | Very rare |
| Hardcore! | — | 3% | Very rare |
| Spood! | — | 3.3% | Very rare |
| Super Surgeon | Earn the max rank at the surgery | 3.9% | Very rare |
| Devilish | — | 4.1% | Very rare |
| Collect all the lost pages | 4.3% | Very rare | |
| Have $4000 in your wallet | 4.5% | Very rare | |
| — | 4.6% | Very rare |