Total Medals Earned: 17 (From 5 different games.) Total Medal Score: 575 Points
Medals Earned: 1/11 (5/335 points)
Kill the Blight
Die 50 times
Kill the Fraud
Complete boss rush
Kill the Astral Rebirth and complete the game
Die 100 times
Kill the Affliction
Complete the main game with under 20 deaths
Complete boss rush with under 20 deaths
Complete boss rush with zero deaths
Complete the main game with zero deaths
Medals Earned: 3/20 (40/395 points)
Start the game for the first time.
Beat Week 1 in Story Mode (on any difficulty).
Get freaky on a Friday.
Beat Tutorial in Story Mode (on any difficulty).
Beat Week 2 in Story Mode (on any difficulty).
Beat Week 3 in Story Mode (on any difficulty).
Beat Week 4 in Story Mode (on any difficulty).
Beat Week 5 in Story Mode (on any difficulty).
Beat Week 6 in Story Mode (on any difficulty).
Beat Week 7 in Story Mode (on any difficulty).
Beat Weekend 1 in Story Mode (on any difficulty) and unlock Pico as a playable character in Freeplay.
Press TAB in Freeplay and unlock your first character.
Beat any Pico remix in Freeplay (on any difficulty).
Beat Stress (Pico Mix) in Freeplay (on any difficulty).
Earn a Loss rating on any song (on any difficulty).
Earn a Perfect rating on any song on Hard difficulty.
Beat any Erect remix in Freeplay on Erect or Nightmare difficulty.
Earn a Gold Perfect rating on any song on Hard difficulty.
Earn a Gold Perfect rating on any song on Nightmare difficulty.
Unlock this medal to learn its secrets!
Medals Earned: 1/5 (25/135 points)
Beat the game.
Let out all your aggression.
Be kind to those less fortunate than yourself.
Reveal the true face of evil!
Defeat Madness Mode!
Medals Earned: 1/16 (5/480 points)
Don't kill any traitors or cowards in Mission 1A.
[Career] Kill 50 enemies in Arena Mode.
Defeat the Nexus HQ on Easy Difficulty
Defeat the Nexus HQ on Normal Difficulty
[Career] Kill 200 enemies in Arena Mode.
[Career] Kill 350 enemies in Arena Mode.
Defeat the Nexus HQ on Hard Difficulty
Find Jesus's hidden blade in Story Mode.
[Career] Kill 1000 enemies in Arena Mode.
[Career] Kill 2000 enemies in Arena Mode.
[Career] Kill 600 enemies in Arena Mode.
[Career] Kill 9001 enemies in Arena Mode.
[Career] Kill 5000 enemies in Arena Mode.
Defeat the Nexus HQ on Hard Difficulty without playing Hank.
[Career] Kill 53,594 enemies in Arena Mode (Pfffft Good Luck!)
Medals Earned: 11/11 (500/500 points)
How to open them
get three perfect notes in a row
Get a perfect combo of at least 15 notes
Get a perfect combo of at least 30 notes
Get a perfect combo of at least 64 notes
Beat the final guy
Beat the boss without using the checkpoint
Beat the game with at least 3 lives left
Get a perfect combo of at least 100 notes
Beat the game without using the checkpoint or taking damage
finish the game with over 95% completion