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?

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.

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.

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?

Nightwatcher's Eyes
You've risen above the flames, became one with the ashes. You've been reborn as one with the Nightwatcher.

The Last Act
You managed to become the ringleader and slay the lie.