Here is the full list of all 48 Hand of Horzasha achievements.
Clear Part 1.
Actually read Kyadne's Devotional.
Clear Part 2.
Clear Part 3.
Clear Part 4.
Get evicted during Part 1.
Get evicted anytime after Part 1.
Take an unfortunate tumble.
Become a permanent resident.
Defy a ruling.
Leave the Gibal Valley.
Find and return with Horzasha.
Gain someone's trust.
Be courageous.
Become a bastion of hope.
Stick with someone difficult.
Grow as a person.
Become close with the Shahms.
Become close with the Meldzes.
Become close with the Giishes.
Become close with the Ihnkos.
Become close with the Oodses.
Become close with the Valls.
Become close with the Randalls.
Leave with Al.
Leave with Fielle.
Leave with Nathaniel.
Leave with Hudra.
Leave with Ernst.
Leave with Riim.
Leave with Aurelia.
Receive a gift from Grund.
Receive a gift from Bota.
Receive a gift from Olse.
Receive of gift from Azane.
Receive a gift from Idda
Receive a gift from Bir.
Receive a gift from... Yolk?
Collect all charms.
Become close with all Meire houses.
See all endings.
Unlock all bonus gallery content.
Take EVERY unfortunate tumble.
Ruin your relationship with the Shahms.
Compliment a fellow sharp dresser.
Ask every question of Nancen and Carko.
Annoy Yolk as much as is humanly possible.
Let Aury pick a fight.