Meet the Fixer

Find the Nefarious Citizens by the Hot Springs

Do a Trick Jump While Going at Max Speed with the Hoverboots

Kill Five Grunthors

Acquire Phase Quartz

Collect Five Gold Bolts

Acquire and Equip Head, Torso, and Leg Armor

Complete the game on Ultra-Violence! difficulty

Upgrade all weapons to max

Purchase all Player Upgrades

Complete "Death, Baby"

Choose the patience option all the way through the line in the Carnival

Heh heh, good times