A Step From Insanity Achievements Here is the full list of all 26 A Step From Insanity achievements.Filter Achievement View View Image viewList view Sort by Won first then by TrueSteamAchievement desc TrueSteamAchievement asc Achievement name desc Achievement name asc TSA Ratio desc TSA Ratio asc Gamers desc Gamers asc Steam order Date won desc Date won asc What are achievement flags? Click to find outApply AllWonNot wonThe ButtonPress the button 09 December 2025 - Add a guideInfinite GrassPlay for 1 hour (in-game) 09 December 2025 - Add a guideThe Grass Still RemainsPlay for 10 hours (in-game) 09 December 2025 - Add a guideThe Grass Begins To VaporizePlay for 100 hours (in-game) 09 December 2025 - Add a guideMass GenocideKill 100 total enemies 09 December 2025 - Add a guideThe Doctor is Out, for GoodKill 20 doctors 09 December 2025 - Add a guideWon a Spot on CEO's Hitlist!Kill 100 doctors 09 December 2025 - Add a guidePutting Cereelit Out of BusinessKill 500 doctors 09 December 2025 - Add a guideMaster of MayhemKill 20 gangsters 09 December 2025 - Add a guideBoss Wants to See YouKill 100 gangsters 09 December 2025 - Add a guideTrue InsanityKill 20 hallucinations 09 December 2025 - Add a guideReality ShattererKill 100 hallucinations 09 December 2025 - Add a guideA Slimy FriendFind the slimey guy aww :D 09 December 2025 - Add a guideBogunObtain the bogun 09 December 2025 - Add a guideDre StyleFinish the game without equipping a torch 09 December 2025 - Add a guideResource SaverFinish the game without using any consumable item 09 December 2025 - Add a guidebananfind the banan man, being blessed eternally at the same time 09 December 2025 - Add a guideA Step From... Insanity?Obtain the first powder, a key ingredient in your quest from insanity 09 December 2025 - Add a guideSEVERELY DEMOTEDTriumph over the Mental Institution's CEO 09 December 2025 - Add a guideCity ChiefPut an end to the deranged City Chief 09 December 2025 - Add a guideBillyDefeated Billy 09 December 2025 - Add a guideBullet FishingKill 20 flying fish 09 December 2025 - Add a guideThe Sushi SamuraiKill 50 flying fish 09 December 2025 - Add a guideDre's worst nightmareKill 200 flying fish 09 December 2025 - Add a guideIn Billy We TrustCarry your trusty map to the end of the game 09 December 2025 - Add a guideCLICK MEclick the guy the thing yea 09 December 2025 - Add a guide