Achievements Unlocked
Don't worry, metagaming is all that matters.

Blood-Drunk Miners Killed
You've killed HOW many?

Bosses Killed
You've killed HOW many?

Hierophants Killed
You've killed HOW many?

Tendril Score
Watch your step

Blood-drunk Miner Killer
I guess he couldn't handle his drink that well.

Boss Killer
You've come a long ways from asking how to switch hands.

HA, GOTTEM
Made you look!

Hierophant Killer
Hierophant, but not triumphant.

How Do I Switch Hands???
If you saw someone casually club themselves upside the head with a toolbox anywhere in the galaxy but here, you'd probably be pretty concerned for them.

King Goat Killer
The king is dead, long live the king!

Mister Sandman
Mechanically speaking, there's no real benefit to being unconscious during surgery. Weird how insistent this doctor is about using the N2O anyway though, huh?

Tendril Exterminator
Watch your step