Get a 100 Hits Combo

Open a Health Chest when your health meter is already full

Complete the Sex Mini-Game

Acquire Poseidon’s Rage

Unlocked first door.

Find your first Patient File.

Kill first minion.

Unlock first container.

First encounter with Pighead.

Died once.

Place a hogtied woman on the train tracks, and witness her death by train.

Online: obtain the Gold Squad Pin 5 times

The player has purchased one slot in any Plasmid or Tonic track