Steam lists 30 achievements in the official list retrieved on 2026-09-20. The tables below transcribe its names and descriptions, grouped for navigation. Independently verified methods are unavailable in this guide; where the official description does not state a method, none is invented.
Spoiler warning: the official names and descriptions mention hidden conditions and later operations. This is a Steam reference, not confirmation that another platform's trophy list or unlock behavior is identical.
Starting, failure, and operation milestones
These entries come from the official Steam achievement list. Row numbers retain their positions in the retrieved 30-entry list and are not an unlock order.
| # | Official name | Official description |
|---|---|---|
| 1 | Welcome employee! | Start the game |
| 2 | First time huh | Die for the first time |
| 4 | Oops, I failed it again, again, again | Fail operation minigame 3 times in a row |
| 7 | Send Me An [REDACTED] | Get killed by Angel |
| 9 | Operation one | Complete operation one |
| 10 | Operation two | Complete operation two |
| 13 | Highway to fail | Fail operation minigames 30 times |
| 14 | Ground Control to doctor Tom | Suffocate |
| 15 | Operation three | Complete operation three |
| 20 | London time | Complete operation four |
| 22 | Operation five | Complete operation five |
The named operation completions do not provide a tool sequence or establish the total number of operations. See the walkthrough reference for that evidence boundary.
Surgery and minigame conditions
The following descriptions are transcribed from the official Steam achievement list. The unusual wording, including “incoming titles,” is retained as retrieved.
| # | Official name | Official description |
|---|---|---|
| 3 | First try | Complete syringe minigame without making any changes |
| 5 | Doctor’s Paradise | Complete whole body without a single mistake in operation minigame |
| 6 | That was hard | Complete any stage of laser operation minigame with all arrows facing the same direction |
| 11 | Smells Like Wrong Spirit | Correctly complete a minigame with a wrong tool selected |
| 12 | I’m Harder, Better, Faster Surgeon | Complete 100 operation minigames |
| 16 | Paint it “back” | Complete operation minigame with reversed controls |
| 21 | Can’t Stop Me Now | Complete maze operation minigame in 3 seconds |
| 26 | And the swiftness of the doctor… | Complete sewing minigame with clicking incoming titles with less than 1 second delay |
These conditions do not supply exact inputs, a reproducible solution, or unlock timing. The surgery reference separates official conditions from demo input observations.
Equipment, power, and overheat conditions
All entries in this group are transcribed from the official Steam achievement list. Their thresholds are achievement-specific and do not establish a general maintenance procedure.
| # | Official name | Official description |
|---|---|---|
| 17 | This is fine | Have Angel Engine overheat on 95% or more and discharge it |
| 18 | Another One Sparks the Fuse | Replace 100 fuses |
| 19 | Goodbye darkness my old friend | Restore power 10 times |
| 27 | Fear of the Crank | Complete operation without any power shortage (It must be done in level where Power Shortage is active) |
| 29 | Mr. Paranoid | Complete whole operation without Angel Engine overheat raising above 20% |
Accounts and hidden conditions
These are the remaining entries in the official Steam achievement list. The unavailable-description marker in row 25 is an editorial status, not an official unlock condition.
| # | Official name | Official description |
|---|---|---|
| 8 | Enter "Wrongman" | Type wrong password |
| 23 | That was really False Alarm | Complete operation when Angel already escaped |
| 24 | Master of Passwords | Log into all accounts in the game |
| 25 | The Doctor Who Sold the World | Official description unavailable in the retrieved Steam list |
| 28 | The Lord once stood by the shore | Type secret Papal code into login screen |
| 30 | Sounds Like A Heresy | Complete REDACTED operation without using holy water |
For “The Doctor Who Sold the World,” no method is supplied: its description was unavailable in the retrieved list. No community route is assigned to that entry. The official Papal-code description also does not disclose an input value; the password reference treats community reports separately.
Verification and platform limits
This is a dated transcription of Steam's list, not a promise that each condition behaves identically in every build or on other platforms. No independent method testing, hidden-condition solution, or console comparison is claimed.
For a correction or a future method, record the relevant achievement, platform, game build, exact observed actions, source, and verification date. Keep that evidence separate from the official description so a tested method cannot silently replace the source text.