Full list of all 48 Cult of the Lamb achievements. It takes around 15-20 hours to unlock all of the achievements in the base game on Windows.
The base game contains 37 achievements, and there are 2 DLC packs containing 11 achievements.
Unlock all fleeces.
Have 666 gold coins.
Defeat Shamura.
Gain 20 Followers.
Defeat all opponents in Knucklebones.
Find all 5 locations.
Unlock all weapons.
Beat Leshy without taking damage.
Fully Upgrade Cult.
Unlock all doctrines.
Unlock all curses.
Catch 1 of every fish.
Defeat Kallamar.
Unlock a new fleece.
Cook a Follower meat meal.
Take confession.
Defeat Heket.
Sacrifice a Follower.
Salvation awaits the fallen soul.
Gain 10 Followers.
Reignite the lighthouse.
Defeat Leshy.
Win a game of Knucklebones.
A new world awaits.
Gain 5 Followers.
Let the Word be known.
Defeat the first mini-boss.
The first devotee to the Cult of the Lamb.
A deal that cannot be undone.
Defeat the One Who Waits.
Beat Heket without taking damage.
Beat Kallamar without taking damage.
Beat Shamura without taking damage.
Unlock all Follower Skins.
Unlock all tarot cards.
Sacrifice 10 Followers.
No longer a servant, no less than a God.
Collect all Relics.
Get your Gold back from Midas.
Complete a row in Purgatory.
Unlock all lore.
Unlock all outfits.
Have 12 Disciples.
Completely Upgrade the Temple.
Hatch 5 eggs.