Trophy | How to unlock
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A Blank Card (Bronze) | Kill Isaac with Eden.
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A Fetus In A Jar (Bronze) | Kill Mom's Heart 9 times.
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A Quarter (Bronze) | Kill Mom's Heart 8 times.
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Azazel (Bronze) | Make 3 deals with the devil in one run.
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Basement Boy (Bronze) | Beat the Basement/Cellar without taking damage.
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Blood Rights (Bronze) | Kill Satan with Samson.
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Bloody Lust (Bronze) | Kill Isaac with Samson.
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Blue Baby (Bronze) | Kill Mom's Heart 10 times.
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Boss Rush (Silver) | Beat the Boss Rush.
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Broken Ankh (Bronze) | Kill Satan with Lazarus.
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Cain (Bronze) | Hold 55 or more pennies at one time.
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Challenges (Bronze) | Beat all 20 Challenges.
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Daemon's Tail (Bronze) | Kill Satan with Azazel.
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Dark Boy (Bronze) | Beat the Depths/Necropolis without taking damage.
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Dark Room (Bronze) | Beat the Dark Room.
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Dead Boy (Bronze) | Beat the Chest or Dark Room without taking damage.
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Eden (Bronze) | Beat the Womb for the first time.
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Eve (Bronze) | Beat 2 levels in a row without picking up any hearts.
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Eve's Bird Foot (Bronze) | Kill Isaac with Eve.
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Everything Is Terrible (Bronze) | Kill Mom's Heart 5 times.
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Forget Me Now (Bronze) | Kill Satan with ???.
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Golden God (Silver) | You are the best!
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Guardian Angel (Bronze) | Kill Satan with Maggy.
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Isaac's Heart (Bronze) | Kill Isaac with The Lost.
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Isaac's Tears (Bronze) | Kill Isaac with Isaac.
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It Lives (Bronze) | Kill Mom's Heart 11 times.
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Judas (Bronze) | Kill Satan.
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Judas' Tongue (Bronze) | Kill Satan with Judas.
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Lazarus (Bronze) | Have 4 or more soul hearts at one time.
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Lazarus' Rags (Bronze) | Kill Isaac with Lazarus.
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Little Baggy (Bronze) | Collect 2 of either Roid Rage, The Virus, Growth Hormones, Experimental Treatment, or Speed Ball.
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Lost Poster (Bronze) | Beat the Dark Room with Isaac.
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Magdalene (Bronze) | Have 7 or more max red hearts at one time.
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Mama's Boy (Bronze) | Beat the Womb/Utero without taking damage.
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Mom's Knife (Bronze) | Kill Satan with Isaac.
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Platinum (Platinum) | Obtain all trophies.
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Platinum God (Gold) | Collect all items and unlock all secrets and endings.
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Real Platinum God (Gold) | 100% the game.
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Samson (Bronze) | Beat 2 levels in a row without taking damage.
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Something Cute (Bronze) | Beat the Caves 30 times.
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Something from the future (Bronze) | Beat the Basement 40 times.
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Something sticky (Bronze) | Beat the Depths 20 times.
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Spelunker Boy (Bronze) | Beat the Caves/Catacombs without taking damage.
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The Bomb Bag (Bronze) | Kill Satan with Cain.
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The Book Of Secrets (Bronze) | Kill Satan with Eden.
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The Book Of Sin (Bronze) | Kill all 7 sins.
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The Chest (Bronze) | Beat the Chest.
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The Coin Bag (Bronze) | Kill Isaac with Cain.
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The Guillotine (Bronze) | Kill Isaac with Judas.
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The Halo (Bronze) | Kill Mom using the Bible.
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The Lost (Bronze) | Finish the game's final secret.
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The Mind (Bronze) | Kill Satan with The Lost.
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The Negative (Bronze) | Beat Sheol 5 times.
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The Polaroid (Bronze) | Beat Cathedral 5 times.
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The Razor (Bronze) | Kill Satan with Eve.
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The Relic (Bronze) | Kill Isaac with Maggy.
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The Satanic Bible (Bronze) | Kill Isaac with Azazel.
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The Womb (Bronze) | Kill Mom.
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Transcendence (Bronze) | Kill Mom's Heart 3 times.
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