Double Double

Have a Level 20 Hospital

Low Brow

Double Digits

Have a Level 10 Hospital

Give a Man a Hospital...

Cure 1 Patient

Teach a Man to Hospital...

Cure 1000 Patients

Dr Know

Train a World-Class Researcher

Jung at Heart

Train a World-Class Psychiatrist

Cut Above

Train a World-Class Surgeon

Well-Informed

Complete 50 Research Projects

Always Be Curing

Run 50 Marketing Campaigns

Bells & Whistles

Conduct 25 Machine Upgrades

I. See. You.

Capture 100 Ghosts

County-Wide

Earn 15 Gold Stars

Inter-Countinental

Earn 30 Gold Stars

Pointy Mountain G.O.A.T

Earn 45 Gold Stars

JUMBO

Reach $50,000,000 Organisation Value

Two Point Bounty

Earn 10,000 Kudosh

Peer-Reviewed

Complete a Multiplayer Challenge

I'd Like To Thank My Mother

Win every award in a single hospital

High Brow

Generating Business

High Altitude Health Service

Earn 1 Star at each hospital in the Pointy Mountains

The New Gold Standard

Earn 54 Gold Stars

Now Even Cheesier

De-Lux Suite

Furry Good Review

Curing Spree

The (Second) New Gold Standard

Earn 63 Gold Stars

Busman's Holiday

Earn 1 Star at each hospital on Pebberley Island

Life, the Universe and Everything

Complete Wave 42 on Topless Mountain

Symbiosis

Unlock every plot in Overgrowth

Icebreaker

Complete Superbug Project "Hair Removal"

Strength in Numbers

Complete Superbug Project "Learning Machine Learning"

Serial Collaborator

Complete 50 Research Nodes

The (Third) New Gold Standard

Earn 72 Gold Stars

Rose Amongst The Pigeons

Expose 50 Alien Infiltrators

Animation & Sanitation

Activate every Robo-Janitor prototype in Chasm 24

Kissed by a Nurse

Cure a patient with Frogborne

Stealthily Healthily

Earn 1 Star at each hospital in Close Encounters

World 1

Complete R.E.M.I. X versions of Hogsport, Lower Bullocks & Flottering

Vote Windsock

Earn 1 Star at each hospital in Off The Grid

The (Fourth) New Gold Standard

Earn 81 Gold Stars

Greener Grass

Maximise your Green Energy capacity in Windsock

Environmentally Friendliest

Receive the highest possible Eco Rating

First Catch Your Plant

Cure a patient in the Herb Garden

World 2

Complete R.E.M.I. X versions of Mitton University, Tumble & Flemington

Character Development

Train Roderick Cushion to Level 5 at Plywood Studios

Good VIBErations

Achieve a high VIBE rating at Fitzpocket Academy

Sick-in-the-Mud

Complete Wave 18 at Mudbury Festival

The (Fifth) New Gold Standard

Earn 90 Gold Stars

Arts & Plaster Casts

Earn 1 Star at each hospital in Culture Shock

The (Sixth) New Gold Standard

Earn 99 Gold Stars

Days of Suture Past

Earn 1 Star at each hospital in A Stitch In Time

Besterizer

Send 100 cured patients through the Yesterizer in Clockwise-above-Thyme

Swiss Cheese Hospital

Cure 100 patients from time portals in a single year

De-Light Saving Time

Cure a patient with Lightheadedness, Beheadedness, Hotheadedness, and Byteheadedness in Clockwise-above-Thyme

The (Seventh) New Gold Standard

Earn 108 Gold Stars

Intensive Car Unit

Earn 1 Star at each hospital in Speedy Recovery

You Got All The Best Lines

Reach the top of every league table at once for 3 months

It's a Wind-up

Collect 20 patients in one trip with a Pantomobile.

Diversified Portaloo

Have at least one of each type of ambulance fully upgraded in the same hospital.