Shoot a bullet.
Use the item 'Heroin.'
Die during a trip.
Beat The Purple Himbius for the first time.
Beat The Grongle Sweats for the first time.
Beat The Beebis Edge for the first time.
Beat The Foul Domain for the first time.
Collect every single Item!
Find a note.
Find every single food related item.
Find every single punk item
Find every single drug item
Find every single 'gendered' item
Find every single 'Adult' item
Find a secret room!
Spin the slot machine over 777 times!
Donate over 100 tanks of blood to the blood donation machine
Buy over 50 items!
Kill over 300 Enemies
Beat the game in Standard Mode.
Beat the game in Brutal Mode.
Gain the max amount of HP during a single run.