Pain

Get all Trophies in Downtown plus Trill and Grenade-A-Maid

Get 100,000,000 points in Downtown

Use Tuxedo Hoff to get 69 million in any PAINdemonium Mode

Find and hit the alien artifact in both PAIN Reunion and Sports Day and the sports trophy in both PROBE and Afterglow

Travel through all the secret passages in one run in The Stiffstonian, Knight at the Museum, and Fun With Explosives single player (any difficulty)

Take the hot tub girl for a ride in the Heiny Mine in Fail Village

Score 60 Monkeys in Spank the Monkey Painful with Buzz

Use Ed to explode 500 barrels in Clown Toss

Open all the unlocked lockers in PAIN Reunion using Santa

Complete Mad Science! PAINful without grabbing

Get all of Dick's Balls in the Block Party Dumpster without resetting the scene

Dive into 3 urinals, experience some FArt, and blow up The Stinker statue in one run in The Stiffstonian

Earn gold medals in Museum Spank Normal, Hard, and PAINful with Ivan Tojakov

Shoot through all the Snow Blower Launchers in one run

Break all the ice blocks in one run

Get PAINful Bullseye Trophy with Scurv Dogg or Hung Lo

Get "PAIN in the Park" and "D-Town Destruction"

Hit the Target Stuffed Ninja in every Abusement Park mode

Get 15x Combo in PAINdemonium, Aftermath, Block Party and Demolition

Take the Clown for a ride on the Roller Coaster