Evolve 7 or more diseases before the recovery has started.

Evolve Heart Attack

Evolve Lupus Nephretis

Evolve the Alcoholic risk factor.

Evolve Lupus

Evolve the Morbidly Obese risk factor.

Unlock all diseases in one system.

Stack 30 Bio Point before spending anything.

Win a game at 99% recovery.

Have your victim get suicidal thoughts.

Cause a Strike while in Emergency Room.

Push your victim to suicide.

Purchase Nosocomephobia I, Nosocomephobia II & Bad Doctors before the recovery has started.

Have your victim's circulatory system to collapse first.

Have your victim's nervous system to collapse first.

Have your victim's respiratory system to collapse first.

Have your victim's muscular system to collapse first.

Have your victim's digestive system to collapse first.

Have your victim's renal system to collapse first.

Have your victim's skeletal system to collapse first.

Win a game before the recovery reaches 70%

Win a game before the recovery reaches 60% at severe difficulty.

Win a game with a muscular dystrophy cause of death.

Win a game with Lung cancer or Emphysema as cause of death.

Win a game without evolving any risk factors

Win a game without evolving any recovery.

Complete the impossible stage at severe difficulty.

Win a game in less than 240 days

Complete 25 Achievements

Lose a game

Win one stage at Lethal difficulty.

Win six stage at Lethal difficulty.

Win the Save John Smith stage.

Start a game with 5 boosters.

Win all stages in the Specialized M.D faculty.

Earn 72 stars.