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Las bases de datos, las clasificaciones y los nombres de las entradas están en inglés: así llegan de las fuentes — Steam, Twitch, las tiendas — y traducirlos sería reescribirlos, es decir inventarlos.
Data from Steam — Steam Web API Terms of Use. Last updated .
| Achievement | How to unlock | Unlocked by | Rarity |
|---|---|---|---|
| 1337 H4x0r | Achieve a 5-star hospital rating in Challenge Mode in The Voice Beyond Chapter 3: Return to Sender. | 0.2% | Ultra rare |
| It's All Coming Together | Achieve a 5-star hospital rating in Challenge Mode in The Voice Beyond Chapter 2: Safe Haven. | 0.2% | Ultra rare |
| Supreme Director of the Year | Achieve a 5-star hospital rating in Challenge Mode on 15 levels. | 0.2% | Ultra rare |
| Seeing the Big Board | Achieve a 5-star hospital rating in Challenge Mode in The Voice Beyond Chapter 1: Aftermath.. | 0.2% | Ultra rare |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 9: The Fourth Wall. | 0.3% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 11: The Loamcore. | 0.3% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 8: One Species' Trash. | 0.3% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 10: Tick Tock. | 0.3% | Ultra rare | |
| Fully research all 12 new conditions in The Voice Beyond. | 0.4% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 6: Many Me. | 0.4% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 7: Mother. | 0.4% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode on 5 levels. | 0.5% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 5: Pyre Sale. | 0.5% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 4: Big Farma. | 0.5% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 2: Burning Moon. | 0.6% | Ultra rare | |
| Achieve a 5-star hospital rating in Challenge Mode in Chapter 3: Transport Tycoon. | 0.7% | Ultra rare | |
| Achieve a 5-star hospital rating in The Voice Beyond Chapter 3: Return to Sender. | 0.9% | Ultra rare |