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These are the achievements available for the Steam version of the game.
| Unlockable: | How |
| Blood Clot Boy | Complete the Hospital Dark World without dying |
| Demon Boy | Complete the Hell Dark World without dying |
| Dr.Fetus Boy | Complete the End Dark World without dying |
| Impossible Boy | Complete the Cotton Alley Dark World without dying |
| Missile Boy | Complete the Salt Factory Dark World without dying |
| Squirrel Boy | Complete the Forest Dark World without dying |
| Zombie Boy | Complete the Rapture Dark World without dying |
| Unlockable | How to Unlock |
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