Get all four endings
Collect all the lost pages
Reach minimum karma
Set the Riverport sign to something other than BURT
Score 5 baskets
Read every bedtime story
Earn the max rank at the burger bar
Pet the cat
Saw one of the four different endings
Collect your first lost page
Listen to all of the fisherman's tale
Donate to the food bank
Reach max Karma
Have $4000 in your wallet
Spit in 10 burgers at the burger bar
Earn the max rank at the surgery
Complete the treasure storyline
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