Have a Level 20 Hospital
Knock the socks off of Bartholomew F. Yeti
Earn 45 Gold Stars
Run 50 Marketing Campaigns
Cure a patient in the Herb Garden
Earn 90 Gold Stars
Receive the highest possible Eco Rating
Win every award in a single hospital
Earn 1 Star at each hospital in Culture Shock
Earn 99 Gold Stars
Have a Level 10 Hospital
Complete Wave 42 on Topless Mountain
Have at least one of each type of ambulance fully upgraded in the same hospital.
Reach the top of every league table at once for 3 months
Earn 108 Gold Stars
Maximise your Green Energy capacity in Windsock
Expose 50 Alien Infiltrators
Earn 1 Star at each hospital in the Pointy Mountains
Injure someone with an exploding machine
Activate every Robo-Janitor prototype in Chasm 24
Conduct 25 Machine Upgrades
Earn 1 Star at each hospital in Speedy Recovery
Complete a Multiplayer Challenge
Achieve a high VIBE rating at Fitzpocket Academy
Reach $50,000,000 Organisation Value
Unlock every plot in Overgrowth
Get a Curing Spree on Topless Mountain
Send 100 cured patients through the Yesterizer in Clockwise-above-Thyme
Earn 63 Gold Stars
Complete R.E.M.I. X versions of Mitton University, Tumble & Flemington
Complete R.E.M.I. X versions of Hogsport, Lower Bullocks & Flottering
Earn 15 Gold Stars
Earn 54 Gold Stars
Cure 100 patients from time portals in a single year
Train Roderick Cushion to Level 5 at Plywood Studios
Complete Superbug Project \"Hair Removal\"
Complete Wave 18 at Mudbury Festival
Earn 81 Gold Stars
Complete 50 Research Nodes
Cure a patient with Lightheadedness, Beheadedness, Hotheadedness, and Byteheadedness in Clockwise-above-Thyme
Earn 72 Gold Stars
Capture 100 Ghosts
Shoot 10 Monobeasts in a row without missing
Earn 1 Star at each hospital in Off The Grid
Collect 20 patients in one trip with a Pantomobile.
Cure 1 Patient
Earn 1 Star at each hospital on Pebberley Island
Cure 1000 Patients
Cure a patient with Frogborne
Earn 1 Star at each hospital in Close Encounters
Train a World-Class Researcher
Complete Superbug Project \"Learning Machine Learning\"
Complete the \"Cheesier Gubbins\" Research Project in Swelbard
Train a World-Class Psychiatrist
Earn 30 Gold Stars
Train a World-Class Surgeon
Earn 1 Star at each hospital in A Stitch In Time
Complete 50 Research Projects
Have a Level 5 De-lux Clinic at the Underlook Hotel
Earn 10,000 Kudosh
Shoot 1 Monobeast