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 wonMass GenocideKill 100 total enemies 13 January 2026 - Add a guideThe ButtonPress the button Locked - Add a guideInfinite GrassPlay for 1 hour (in-game) Locked - Add a guideThe Grass Still RemainsPlay for 10 hours (in-game) Locked - Add a guideThe Grass Begins To VaporizePlay for 100 hours (in-game) Locked - Add a guideThe Doctor is Out, for GoodKill 20 doctors 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 guideTrue InsanityKill 20 hallucinations Locked - Add a guideReality ShattererKill 100 hallucinations Locked - Add a guideA Slimy FriendFind the slimey guy aww :D 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 guideA Step From... Insanity?Obtain the first powder, a key ingredient in your quest from insanity Locked - Add a guideSEVERELY DEMOTEDTriumph over the Mental Institution's CEO Locked - Add a guideCity ChiefPut an end to the deranged City Chief Locked - Add a guideBillyDefeated Billy Locked - Add a guideBullet FishingKill 20 flying fish 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 guideCLICK MEclick the guy the thing yea Locked - Add a guide