Gain access to Administration after it is locked down by the Joker

Survive the nightmare of the Scarecrow's fear gas

Save all the doctors in medical

Complete a combo of 10 moves (any play mode)

Survive the onslaught from the deformed Joker henchman

Take down Zsasz in the Patient Pacification Chamber

Unlocked a top tier destiny.

You have defeated Tirnoch, and defied destiny.

Completed the House of Sorrows storyline quests.

You have defeated the great Balor.

A ruse has baited Octienne into betraying the necromantic nature of his experiments.

Completed the Warsworn storyline quests.