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There are a total of 45 achievements in Blasphemous:

Combat

Achievement Icon Bestiary

Bestiary

Beat all types of enemies.

Achievement Icon Inquisition

Inquisition

Execute 5 different enemies.

Achievement Icon Power Unleashed

Power Unleashed

Use the Righteous Riposte 5 times.

Achievement Icon The Number of the Beasts

The Number of the Beasts

Kill 666 enemies.

Bosses

Achievement Icon A Long Path Ahead

A Long Path Ahead

Beat the Warden of the Silent Sorrow.

Achievement Icon Ashes to Ashes

Ashes to Ashes

Beat Quirce of the Eternal Pyre.

Achievement Icon Blind Inoccence

Blind Inoccence

Beat Exposito, Scion of Abjuration.

Achievement Icon Dance of Death

Dance of Death

Beat the Tres Angustias.

Achievement Icon Face Off

Face Off

Beat the Our Lady of the Charred Visage.

Achievement Icon Faith Off

Faith Off

Beat Crisanta of the Wrapped Agony.

Achievement Icon No Mercy

No Mercy

Beat Ten Piedad.

Achievement Icon Summa Blasphemia

Summa Blasphemia

Beat His Holiness Escribar.

Achievement Icon The Bejeweled Saint

The Bejeweled Saint

Beat Melquiades, The Exhumed Archbishop.

Achievement Icon The Brother

The Brother

Beat Esdras, of the Anointed Legion.

Achievement Icon The Sister

The Sister

Beat Perpetva.


Exploration

Achievement Icon Baptism of Faith

Baptism of Faith

Achieve the maximum value of fervor.

Achievement Icon Blood and Tears

Blood and Tears

Buy all skills from the Mea Culpa shrines.

Achievement Icon Engracia

Engracia

Achieve the maximum value of rosary beads slots.

Achievement Icon Firm Devotion

Firm Devotion

Get all prayers.

Achievement Icon Flea Market

Flea Market

Buy all the items of the Candelaria shops.

Achievement Icon Fountain of Life

Fountain of Life

Achieve the maximum value of flasks.

Achievement Icon Heart and Slash

Heart and Slash

Get all sword hearts.

Achievement Icon Mea Culpa

Mea Culpa

Achieve the maximum level of the Mea Culpa sword.

Achievement Icon In the name of the High Wills

In the name of the High Wills

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

Relic Trading
Item FrameItem Shroud of Dreamt Sins 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 FrameItem Three Gnarled Tongues Three Gnarled Tongues

Given as part of the Egg of Deformity questline.

Item FrameItem Incorrupt Hand of the Fraternal Master 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
Achievement Icon Mysteria Lucis

Mysteria Lucis

Get all Rosary Beads.

Achievement Icon Six Stinging Pains

Six Stinging Pains

Achieve the maximum value of health.

Achievement Icon Skin and Bones

Skin and Bones

Get all relics.

Achievement Icon Cvstodia's Pilgrim

Cvstodia's Pilgrim

Discover all zones.

Achievement Icon Last Words

Last Words

Talk with all the corpses.

Achievement Icon Mediterranean Diet

Mediterranean Diet

Save all Kissers of Wounds.

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

Can be found in Jondo.

Screenshot Location Bouquet of Rosemary
Item FrameItem Bouquet of Thyme Bouquet of Thyme

Acquired in Albero after activating the Portal.

Screenshot Location Bouquet of Thyme
Item FrameItem Incense Garlic Incense Garlic

Found in the Graveyard of the Peaks.

Screenshot Location Incense Garlic
Item FrameItem Sooty Garlic Sooty Garlic

Found in the Sleeping Canvases.

Screenshot Location Sooty Garlic
Item FrameItem Olive Seeds Olive Seeds

Found in Patio of the Silent Steps.

Screenshot Location Olive Seeds
Item FrameItem Dried Clove Dried Clove

Found in the Mountains of the Endless Dusk.

Screenshot Location Dried Clove
The order of the items does not seem to matter. He gives rewards in the following order:
Exclamation Mark
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

The Bull and The Moon

Release all cherubs.

Achievement Icon The Desire of the Corrupted

The Desire of the Corrupted

Visit the tomb of The Lady of the Tailed Gown.

Achievement Icon True Shrine

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

True Shrine
Bring all the offerings to Ludovico.

Item Location
Item FrameItem Tentudia's Carnal Remains 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
Item FrameItem Remains of Tentudia's Hair Remains of Tentudia's Hair can be found in Where Olive Trees Wither. Screenshot Location Remains of Tentudia's Hair
Item FrameItem Tentudia's Skeletal Remains 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

He gives 8 452 and 8 822 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

Warden of the Ossuary

Get all collectibles.

Achievement Icon Witness of The Miracle

Witness of The Miracle

Get 100% of the game.


Endings

Achievement Icon The Path of the Believer

The Path of the Believer

Unlock the ending A.

Achievement Icon The Path of the Unworthy

The Path of the Unworthy

Unlock the ending B.


Challenges

Achievement Icon Bronze Medal

Bronze Medal

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

Achievement Icon Detestatio Sacrorum

Detestatio Sacrorum

Beat all the arena challenges.

Achievement Icon Requiem Aeternam

Requiem Aeternam

Beat all bosses without flask consumption.


Miscellaneous

Achievement Icon Crossing Souls

Crossing Souls

Provoke the meeting between Redento and Cleofás.

Achievement Icon Last Breath

Last Breath

Witness the last moments of Viridiana.

Achievement Icon Rebirth

Rebirth

Help Cleofas in his path of redemption.

Achievement Icon Ultreia Et Suseia

Ultreia Et Suseia

Help the Pilgrim reach his final destination.

Achievement Icon Warm and Soft

Warm and Soft

Hatch the Egg of Altasgracias.

Quest: Egg of Deformity
Item FrameItem Black Grieving Veil Black Grieving Veil

Can be found in the Desecrated Cistern.

Screenshot Location Black Grieving Veil
Item FrameItem Torn Bridal Ribbon Torn Bridal Ribbon

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

Screenshot Candelaria Shop 02
Item FrameItem Melted Golden Coins 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
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
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
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

Warm and Soft
Hatch the Egg of Altasgracias.


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