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 Grass Begins To VaporizePlay for 100 hours (in-game) 19 December 2025 - Add a guideTrue InsanityKill 20 hallucinations 04 December 2025 - Add a guideThe Grass Still RemainsPlay for 10 hours (in-game) 04 December 2025 - Add a guideA Slimy FriendFind the slimey guy aww :D 28 November 2025 - Add a guideCity ChiefPut an end to the deranged City Chief 28 November 2025 - Add a guideSEVERELY DEMOTEDTriumph over the Mental Institution's CEO 28 November 2025 - Add a guideCLICK MEclick the guy the thing yea 28 November 2025 - Add a guideA Step From... Insanity?Obtain the first powder, a key ingredient in your quest from insanity 28 November 2025 - Add a guideBullet FishingKill 20 flying fish 28 November 2025 - Add a guideInfinite GrassPlay for 1 hour (in-game) 28 November 2025 - Add a guideThe Doctor is Out, for GoodKill 20 doctors 26 November 2025 - Add a guideMass GenocideKill 100 total enemies 30 September 2025 - Add a guideThe ButtonPress the button Locked - Add a guideWon a Spot on CEO's Hitlist!Kill 100 doctors Locked - Add a guidePutting Cereelit Out of BusinessKill 500 doctors Locked - Add a guideMaster of MayhemKill 20 gangsters Locked - Add a guideBoss Wants to See YouKill 100 gangsters Locked - Add a guideReality ShattererKill 100 hallucinations Locked - Add a guideBogunObtain the bogun Locked - Add a guideDre StyleFinish the game without equipping a torch Locked - Add a guideResource SaverFinish the game without using any consumable item Locked - Add a guidebananfind the banan man, being blessed eternally at the same time Locked - Add a guideBillyDefeated Billy Locked - Add a guideThe Sushi SamuraiKill 50 flying fish Locked - Add a guideDre's worst nightmareKill 200 flying fish Locked - Add a guideIn Billy We TrustCarry your trusty map to the end of the game Locked - Add a guide