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.
No longer a servant, no less than a God.
Unlock all Follower Skins.
Unlock all fleeces.
Unlock all tarot cards.
Beat Shamura without taking damage.
Cook a Follower meat meal.
Beat Kallamar without taking damage.
Beat Heket without taking damage.
Beat Leshy without taking damage.
Defeat the One Who Waits.
Defeat all opponents in Knucklebones.
Defeat Shamura.
Gain 20 Followers.
Find all 5 locations.
Defeat Kallamar.
Unlock all curses.
Unlock all doctrines.
Unlock all weapons.
Have 666 gold coins.
Catch 1 of every fish.
Fully Upgrade Cult.
Reignite the lighthouse.
Unlock a new fleece.
Defeat Heket.
Sacrifice a Follower.
Salvation awaits the fallen soul.
Take confession.
Gain 10 Followers.
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.
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.