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