There are a total of 45 achievements in Blasphemous:

Combat

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Bestiary

Beat all types of enemies.

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Inquisition

Execute 5 different enemies.

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Power Unleashed

Use the Righteous Riposte 5 times.

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The Number of the Beasts

Kill 666 enemies.

Bosses

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A Long Path Ahead

Beat the Warden of the Silent Sorrow.

Achievement Icon Ashes to Ashes.jpg

Ashes to Ashes

Beat Quirce of the Eternal Pyre.

Achievement Icon Blind Inoccence.jpg

Blind Inoccence

Beat Exposito, Scion of Abjuration.

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Dance of Death

Beat the Tres Angustias.

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Face Off

Beat the Our Lady of the Charred Visage.

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Faith Off

Beat Crisanta of the Wrapped Agony.

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No Mercy

Beat Ten Piedad.

Achievement Icon Summa Blasphemia.jpg

Summa Blasphemia

Beat His Holiness Escribar.

Achievement Icon The Bejeweled Saint.jpg

The Bejeweled Saint

Beat Melquiades, The Exhumed Archbishop.

Achievement Icon The Brother.jpg

The Brother

Beat Esdras, of the Anointed Legion.

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The Sister

Beat Perpetva.


Exploration

Achievement Icon Baptism of Faith.jpg

Baptism of Faith

Achieve the maximum value of fervor.

Achievement Icon Blood and Tears.jpg

Blood and Tears

Buy all skills from the Mea Culpa shrines.

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Engracia

Achieve the maximum value of rosary beads slots.

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Firm Devotion

Get all prayers.

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Flea Market

Buy all the items of the Candelaria shops.

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Fountain of Life

Achieve the maximum value of flasks.

Achievement Icon Heart and Slash.jpg

Heart and Slash

Get all sword hearts.

Achievement Icon Mea Culpa.jpg

Mea Culpa

Achieve the maximum level of the Mea Culpa sword.

Achievement Icon In the name of the High Wills.jpg

In the name of the High Wills

Bring all the offerings to the Blessed Lord of Salty Shores.

Relic Trading
Item Frame.pngItem Shroud of Dreamt Sins.png Shroud of Dreamt Sins

Given in return of Linen Cloth, that's given by Tirso in Albero after the first item given to him.

Item Frame.pngItem Three Gnarled Tongues.png Three Gnarled Tongues

Given as part of the Egg of Deformity questline.

Item Frame.pngItem Incorrupt Hand of the Fraternal Master.png Incorrupt Hand of the Fraternal Master

Given in return of the Severed Hand (found in the Desecrated Cistern right before the door to the fountain, slide under the floor on the opposite side below where the corpse is. Requires Nail Uprooted from Dirt to reach). Give the hand to the statue in the Lake of Silent Pilgrims to receive the shroud. To enter the frozen realm, interact with the fountain in the middle of Albero.

Screenshot Location Corpse 02.jpg
Achievement Icon Mysteria Lucis.jpg

Mysteria Lucis

Get all Rosary Beads.

Achievement Icon Six Stinging Pains.jpg

Six Stinging Pains

Achieve the maximum value of health.

Achievement Icon Skin and Bones.jpg

Skin and Bones

Get all relics.

Achievement Icon Cvstodia's Pilgrim.jpg

Cvstodia's Pilgrim

Discover all zones.

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Last Words

Talk with all the corpses.

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Mediterranean Diet

Save all Kissers of Wounds.

Quest: Healing Herbs
There are several items that can be given to Tirso in Albero:
Item Frame.pngItem Bouquet of Rosemary.png Bouquet of Rosemary

Can be found in Jondo.

Screenshot Location Bouquet of Rosemary.jpg
Item Frame.pngItem Bouquet of Thyme.png Bouquet of Thyme

Acquired in Albero after activating the Portal.

Screenshot Location Bouquet of Thyme.jpg
Item Frame.pngItem Incense Garlic.png Incense Garlic

Found in the Graveyard of the Peaks.

Screenshot Location Incense Garlic.jpg
Item Frame.pngItem Sooty Garlic.png Sooty Garlic

Found in the Sleeping Canvases.

Screenshot Location Sooty Garlic.jpg
Item Frame.pngItem Olive Seeds.png Olive Seeds

Found in Patio of the Silent Steps.

Screenshot Location Olive Seeds.jpg
Item Frame.pngItem Dried Clove.png Dried Clove

Found in the Mountains of the Endless Dusk.

Screenshot Location Dried Clove.jpg
The order of the items does not seem to matter. He gives rewards in the following order:
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If Tirso refuses to take the next healing herb, defeat the next boss. Requires confirmation.

If all herbs are given and no achievement rewarded, check the area to the right from Ludovico's house. If there are any new tombstones, it means the achievement is failed and needs to be reattempted in a new save.

Achievement Icon The Bull and The Moon.jpg

The Bull and The Moon

Release all cherubs.

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The Desire of the Corrupted

Visit the tomb of The Lady of the Tailed Gown.

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True Shrine

Bring all the offerings to Ludovico.

The Penitent One can heed the requests of Lvdovico in Albero to collect all of Tentudia's remains and return them to the church so that she can be given a proper burial as part of the True Shrine achievement:
Achievement Icon True Shrine.jpg

True Shrine
Bring all the offerings to Ludovico.

Item Location
Item Frame.pngItem Tentudia's Carnal Remains.png Tentudia's Carnal Remains can be found in the Wasteland of the Buried Churches. Requires the Blood Perpetuated in Sand Relic to reach. Screenshot Location Tentudia's Carnal Remains.jpg
Item Frame.pngItem Remains of Tentudia's Hair.png Remains of Tentudia's Hair can be found in Where Olive Trees Wither. Screenshot Location Remains of Tentudia's Hair.jpg
Item Frame.pngItem Tentudia's Skeletal Remains.png Tentudia's Skeletal Remains can be found in the Graveyard of the Peaks.

It requires the Blood Perpetuated in Sand and Three Gnarled Tongues Relics.

Screenshot Location Tentudia's Skeletal Remains.jpg

He gives 8.png 452 and 8.png 822 for the first two remains, then once the three remains have been delivered he will give the Debla of the Lights Prayer.

Achievement Icon Warden of the Ossuary.jpg

Warden of the Ossuary

Get all collectibles.

Achievement Icon Witness of The Miracle.jpg

Witness of The Miracle

Get 100% of the game.


Endings

Achievement Icon The Path of the Believer.jpg

The Path of the Believer

Unlock the ending A.

Achievement Icon The Path of the Unworthy.jpg

The Path of the Unworthy

Unlock the ending B.


Challenges

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Bronze Medal

Cross the Bronze door on the Bridge of the Three Calvaries in less than 3 hours.

Achievement Icon Detestatio Sacrorum.jpg

Detestatio Sacrorum

Beat all the arena challenges.

Achievement Icon Requiem Aeternam.jpg

Requiem Aeternam

Beat all bosses without flask consumption.


Miscellaneous

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Crossing Souls

Provoke the meeting between Redento and Cleofás.

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Last Breath

Witness the last moments of Viridiana.

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Rebirth

Help Cleofas in his path of redemption.

Achievement Icon Ultreia Et Suseia.jpg

Ultreia Et Suseia

Help the Pilgrim reach his final destination.

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Warm and Soft

Hatch the Egg of Altasgracias.

Quest: Egg of Deformity
Item Frame.pngItem Black Grieving Veil.png Black Grieving Veil

Can be found in the Desecrated Cistern.

Screenshot Location Black Grieving Veil.jpg
Item Frame.pngItem Torn Bridal Ribbon.png Torn Bridal Ribbon

Sold by Candelaria for 8.png 800 in the Graveyard of the Peaks.

Screenshot Candelaria Shop 02.jpg
Item Frame.pngItem Melted Golden Coins.png Melted Golden Coins

Found at the end of the top room above the Ceremony Room in the Grievance Ascends area.

Location Screenshot Blood Perpetuated In Sand 04.jpg
To get the egg, place the Black Grieving Veil, Torn Bridal Ribbon and the Melted Golden Coins on the plates in the cave of the bottom of Grievance Ascends in front of Altasgracias. Screenshot Location Altasgracias.jpg
Take the Egg of Deformity and put it into the tree as an offering where Perpetva is first encountered in the Mountains of the Endless Dusk. Leave the scene and return to receive the Hatched Egg of Deformity. Screenshot Location Perpetva 01.jpg
Take the Hatched Egg of Deformity to the blessing statue in the Lake of Silent Pilgrims accessed via the fountain in Albero to receive the Three Gnarled Tongues Relic.

Return to the room where the offerings were left to find Altasgracias gone, and the Knot of Hair in her place.

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Achievement Icon Warm and Soft.jpg

Warm and Soft
Hatch the Egg of Altasgracias.


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