Here is the full list of all 12 Karen: An Outrage Simulator achievements.
Go ballistic at the spa
You have reached the ultimate form
Nobody tells you what to do
Erupt at the grocery store
Nobody's having a good time if you aren't
Rage at the restaurant
True serenity, through the misery of others
Spoke with the manager, and destroyed him
Throw a tantrum at the Starcups
Expiry dates are just suggestions
Lose your cool at the Con-Mart
You are now Karen