Here is the full list of all 50 Mushihimesama achievements.
Start training.
Defeat boss in STAGE 4. (Normal, Novice only)
Defeat miniboss in STAGE 4. (Normal, Novice only)
Defeat boss in STAGE 3. (Normal, Novice only)
Obtain 1UP. (Normal, Novice, Arrange only)
Fire at Nanabusshi and obtain a lot of amber. (Normal, Novice only)
Get a score extend. (Normal, Novice, Arrange only)
Start with S-POWER (Normal, Novice, Arrange only)
Defeat boss in STAGE 1. (Arrange only)
Start with W-POWER (Normal, Novice, Arrange only)
Defeat boss in STAGE 2. (Normal, Novice only)
Break all of Benihonogada's legs. (Normal, Novice only)
Obtain bomb berry. (Normal, Novice, Arrange only)
Change to TRACE. (Normal, Novice only)
Defeat miniboss in STAGE 2. (Normal, Novice only)
Obtain FORMATION options. (Normal, Novice, Arrange only)
Change to FORMATION. (Normal, Novice only)
Defeat boss in STAGE 1. (Normal, Novice only)
Obtain TRACE options. (Normal, Novice, Arrange only)
Change to W-POWER (Normal, Novice only)
Play the game. (Normal, Novice, Arrange only)
Start with M-POWER (Normal, Novice, Arrange only)
Display any of the following: detailed score, lever, extra window.
Defeat miniboss in STAGE 5. (Normal, Novice only)
Defeat boss in STAGE 5. (Normal, Novice only)
Defeat Aki and Akka. (Normal only)
Complete the Original mode with no continues. (Normal, Novice only)
Complete the Maniac mode with no continues. (Normal, Novice only)
Complete STAGE 3 in Ultra mode with no continues! (Normal, Novice only)
Complete Arrange mode with no continues. （Arrange only)
Play a replay.
Complete Ultra mode! (Normal, Novice only)
Open the sound customization menu.
Complete without using any bombs. (Normal, Novice only)
Go over 40,000 in fire count. (Normal, Novice only)
Go over 70,000 in fire count. (Normal, Novice only)
Go over 150,000 in fire count. (Normal, Novice only)
Went over 200,000 in fire count. (Normal, Novice only)
Select the Ultra mode. (Normal, Novice only)
Defeat Benihonogada without breaking its legs. (Normal, Novice only)
Change to M-POWER (Normal, Novice only)
Change to S-POWER (Normal, Novice only)
Complete Original mode. (Normal, Novice only)
Complete Maniac mode. (Normal, Novice only)
Complete Arrange mode. (Arrange only)
Defeat boss in STAGE 2. (Arrange only)
Defeat boss in STAGE 3. (Arrange only)
Defeat boss in STAGE 4. (Arrange only)
Defeat boss in STAGE 5. (Arrange only)
Defeat Aki and Akka. (Arrange only)