Total Medals Earned: 39 (From 11 different games.) Total Medal Score: 445 Points
Medals Earned: 9/50 (55/500 points)
Lose 1 life
Lose 10 lives
Run out of Lives
Throw 10 Water Balloons
Throw 100 Water Balloons
Defeat 10 Snails
Enter The Canyons
Beat Canyons I
Collect All The Coins (Canyons I)
Lose 100 Lives
Throw 1000 Water Balloons
Defeat 100 Snails
Defeat 10 Worms
Defeat 100 Worms
Defeat 10 Candle Kids
Defeat 100 Candle Kids
Beat Canyons II
Beat Canyons III
Collect All The Coins (Canyons II)
Collect All The Coins (Canyons III)
Beat Canyons I (Without Dying)
Beat Canyons II (Without Dying)
Beat Canyons III (Without Dying)
Unlock this medal to learn its secrets!
Enter The Worm Caves
Beat Worm Caves I
Beat Worm Caves II
Beat Worm Caves III
Collect All The Coins (Worm Caves I)
Collect All The Coins (Worm Caves II)
Collect All The Coins (Worm Caves III)
Beat Worm Caves I (Without Dying)
Beat Worm Caves II (Without Dying)
Beat Worm Caves III (Without Dying)
Beat Lava Land I
Beat Lava Land II
Beat Lava Land III
Collect All The Coins (Lava Land I)
Collect All The Coins (Lava Land II)
Collect All The Coins (Lava Land III)
Beat Lava Land I (Without Dying)
Beat Lava Land II (Without Dying)
Beat Lava Land III (Without Dying)
Beat The Game
Complete Speedrun Mode in less than 10 minutes
Medals Earned: 4/12 (130/210 points)
Treat Your First Patient
Fail To Treat a Patient
Take Damage
Eat a Schnitzel
Complete Your First Shift
Complete Your Second Shift
Complete Your Third Shift
Perform a Heart Transplant
Get Shoved By a Business Man
Catch a Virus
Run Out Of Lives
Use The Toilet
Medals Earned: 1/2 (10/60 points)
Help Jack get to Culvers!
Medals Earned: 2/8 (10/90 points)
Played the game for the first time
Won a game of single player
Won a match against someone in online
Customized your character
Reached level 50
Played on Madness Day (9/22)
Medals Earned: 1/2 (5/15 points)
You can now move left...
You got to the end. Well done.
Medals Earned: 7/32 (40/440 points)
Kill 1 Enemy
Kill 15 Enemies
Begin a run
Discover Pico's School
Discover Domain Outskirts
Discover Upper Domain
Unlock Darnell
Unlock Cassandra
Unlock Nene
Unlock Chester BoDean
Kill 50 Enemies
Kill 125 Enemies
Kill 250 Enemies
Kill 500 Enemies
Kill Bill the Dungbeetle
Complete a run
Discover Domain Catacombs
Discover Domain Core
Discover Tomb Border
Discover Tomb Heart
Beat the game as Pico without any help
Unlock All Medals
Medals Earned: 10/12 (170/280 points)
Visit the creators' website
Purchase all permanent upgrades
5-star every level
Earn a heart from eating 4 enemy organs
Sell a tower
Beat Hanzou
Beat Jebus
Beat Bizarro Tom
Upgrade all 3 tower types to maximum in the same level
Beat the game without getting any permanent upgrades
Medals Earned: 2/4 (10/45 points)
Fire your finger guns for the first time!
lose a run by being really bad at video games!
Use the 'Heroin' Item for the first time!
Beat the Shoot Trip Die Demo
Medals Earned: 1/3 (5/80 points)
Solve the first puzzle
Solve all the levels
Make friends with a bird
Medals Earned: 1/17 (5/460 points)
Start the game
1st use of superbomb
1st S Rank
1st A Rank
Finish Round 1
Meet W4-H4
Defeat W4-H4
Talk to all NPCs
Get an S average
Get a C average
Get B average
Get A average
Reach round 10 in arcade mode
Reach round 20 in arcade mode
Reach round 30 in arcade mode
Reach round 40 in arcade mode
Beat arcade mode