Full list of all 138 Ring of Pain achievements.
The base game contains 71 achievements, and there are 5 DLC packs containing 67 achievements.
Equip 8 different Head slot items in one playthrough
Killed by equipping items
Have 60+ Speed
Complete a run in under 18 minutes
Complete a run without any Epic or Legendary items equipped
Defeat the Owl on Hard difficulty
Have 60+ Clarity
Have 60+ Defense
Have 60+ Attack
Have 100+ max Health
Reach Depth 12 having killed all creatures on the way
Reach depth 6 without drinking any potions
Reach Depth 12 on Hard difficulty
Reduce your max health to 1 with the Fountain of Life
Unlock 70 Achievements
Complete a run 5 times
Complete the Dark Ending
Have 5 creatures explode in one turn
Die in Hard Mode
Dig up an item in the Graveyard
Deal 99+ damage in a single attack
Stealth past 10 Banefangs
Play the game for 10 hours
Attack Owl friend
Reach Depth 6 without attacking a creature
Die to a boss
Reach the boss on maximum health
Complete the Light Ending
Kill a Wretched Amalgam that has 50+ max health
Have 500+ Souls
Complete a Daily Dungeon
Get a score of over 9000 in a Daily Dungeon
Kill a Bilebag from a distance
Poison 10 Banefangs
Kill a Shrieker
Have a full inventory
Get cursed by potions 3 consecutive times
Kill 1000 creatures
Kill 20 different types of creatures in a single game
Spend 100+ Souls with Soul Spill
Choose your final path
Shuffle 10+ times in a single run
Successfully Stealth past 10 different creatures in a single game
Successfully Stealth past 100 different creatures
Reach a depth of 12
Kill 10 creatures with reflect damage
Kill 20 Scroungers
Freeze 50 creatures
Die 25 times
Kill a cute, harmless frog
Kill multiple creatures in a single turn 50 times
Parry 50 creatures
Poison 50 creatures
Transform 20 creatures
Die with Rainbow Socks equipped
Deal 25+ damage in a single attack
Use a Shrine
Kill 100 creatures
Discover 10 new paths
Go from full Health to 1 Health in a single turn
Kill a Pupper
Reach a depth of 6
Die within 30 seconds of starting a run
Exit a room without attacking any creatures
Discover a new path
Complete the Tutorial
Die 250 times
Complete a run after travelling down a deep pit
Pacify 25 Hounds
Play 7 Daily Dungeons
Reach the boss with less than 20% health remaining
Kill 10 Fire Breeds with an explosion
Kill a Stone Shifter in Hard Mode
Finish the game without using any scrolls or spellbooks
Intimidate 250 creatures
Teleport or knockback an explosive creature 50 times
Accept 100 items from Owl
Make a wish
Freeze 200 creatures
Poison 300 creatures
Kill 10,000 creatures
Heal 50+ with one potion
Complete a run without replacing any equipped items
Complete a run without ever equipping a Rare or Epic item
Complete a run without ever equipping an Epic or Legendary item
Complete a run with 4 or fewer items equipped
Complete a run without using any rerolls
Kill 10+ creatures in one turn
Have 20 Poison on yourself
Kill Sam and spare the companions
Hex a frog
Kill an Ancient Ice Beast which has more than 30 Defense
Complete a run with 5 or less max Health
Complete a run without discarding any items
Complete a run with 0 or less Defense
Complete a run with 0 or less Attack
Complete a run without ever equipping a Common item
Get hit by 20 explosions in one run
Have 2000+ Souls
Hit Owl with a spoon
Petrify 50 creatures
Get Poisoned twice in one turn
Kill a Spineback while its spines are exposed
Complete a run without entering any special dungeons (only use the black exits)
Complete a run without ever equipping any Body, Head, Arms, Legs or Feet items
Reach depth 10 without hurting a Gnawling
Complete a run with the first item equipped
Kill all enemies in a dungeon with the rock
Use 35 Exit cards of any type in a single run
Reach Depth 12 on Medium difficulty
Reroll 30 times in a single run
Escape fatal poison damage by leaving dungeon
Get cursed while at 1 health
Destroy 20 equipped items in one run
Transform a Firebead that was about to self-destruct
Complete a run with your Stealth, Crit and Dodge chance lower than 10%
Complete a run with only Diviner items equipped
Kill a boss without ever attacking them directly
Complete a run without killing a Scrounger
Complete a run without gaining any stats from Stat Boosts
Kill a boss without any items equipped
Spend more than 200 Souls rerolling a chest and then discard it
Complete a run without taking any explode damage
Complete a run with only Soul Kin items equipped
Complete a run with only Multiclass items equipped
Complete a run with only Stalker items equipped
Complete a run with only Brute items equipped
Kill all creatures in a core path dungeon on the first turn
Kill a creature with exactly the same stats as you
Survive a total of 60+ damage in a single Nest or Swamp dungeon
Wear items of the same set in the Head, Body, Legs, and Feet slots