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.
Sacrifice 10 Followers.
Have 666 gold coins.
Defeat the One Who Waits.
Defeat all opponents in Knucklebones.
Defeat Shamura.
Defeat Kallamar.
Unlock all weapons.
Find all 5 locations.
Gain 20 Followers.
Unlock all curses.
Unlock all doctrines.
Fully Upgrade Cult.
Cook a Follower meat meal.
Take confession.
Defeat Heket.
Catch 1 of every fish.
Unlock a new fleece.
Gain 10 Followers.
Reignite the lighthouse.
Sacrifice a Follower.
Salvation awaits the fallen soul.
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.
Beat Leshy without taking damage.
Beat Heket without taking damage.
Beat Kallamar without taking damage.
Beat Shamura without taking damage.
Unlock all Follower Skins.
Unlock all tarot cards.
Unlock all fleeces.
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.