The following achievements can be obtained in-game, as well as on Steam.
In-Game Achievements
Icon
Title
Description
Ranks
Ranks determine how many beats a player missed during a respective level and range between S, A, B, C, D, and F, where S indicates zero misses, and F indicates a range of most misses.
Highlighted stars on the player's pager indicate whether a level has been successfully completed.
Stars
Highlighted Stars on the player's pager indicate whether a level has been successfully completed..
Highlighted scrolls on the player's pager indicate whether a level has been successfully completed with an S-Rank.
Scrolls
Highlighted Scrolls on the player's pager indicate whether a level has been successfully completed with an S-Rank.
Steam Achievements
Icon
Title
Description
How To Unlock
First Day On The Job
Complete Act 1.
Pass all Act 1 levels with a B-rank or higher, and complete the Boss Stage.
One Step At A Time
Complete Act 2.
Pass all Act 2 levels with a B-rank or higher, and complete the Boss Stage.
A Usual Day Around Here
Complete Act 3.
Pass all Act 3 levels with a B-rank or higher, and complete the Boss Stage.
Working Remotely
Complete Act 4.
Pass all Act 4 levels with a B-rank or higher.
The Coach of Middlesea
Complete Act 5.
Pass all Act 5 levels with a B-rank or higher, and complete the Boss Stage.
Doctor’s Orders
Complete Act 6.
Pass all Act 6 levels with a B-rank or higher, and complete the Boss Stage.
Welcome To The Team
Save the Insomniac patient and watch the game's credits.
Pass levels 1-X and 1-XN, and watch or play through the game's credits.
The Donut Trilogy
Complete the Muse Dash Collaboration.
Pass levels MD-1, MD-2, and MD-3 with a B-Rank or higher.
The Future of Middlesea
Complete the finale.
Beat 7-X and 7-X2.
First Date
Earn an S-Rank on Level 1-2.
Earn an S-Rank by missing zero beats during Level 1-2.
Insomnia Cure
Earn an S-Rank on Level 1-X.
Earn an S-Rank by missing zero beats during Level 1-X.
Maybe Try Decaf?
Earn an S-Rank on Level 2-2.
Earn an S-Rank by missing zero beats during Level 2-2.
Rush Hour
Earn an S-Rank on Level 2-3.
Earn an S-Rank by missing zero beats during Level 2-3.
No Items, Final Destination
Earn an S-Rank on Level 2-3N.
Earn an S-Rank by missing zero beats during Level 2-3N.
Greenhouse
Earn an S-Rank on Level 3-1.
Earn an S-Rank by missing zero beats during Level 3-1.
Sing From The Heart
Earn an S-Rank on Level 2-X.
Earn an S-Rank by missing zero beats during Level 2-X.
Overworked, Underpaid
Earn an S-Rank on Level 3-X.
Earn an S-Rank by missing zero beats during Level 3-X.
Conductor
Earn an S-Rank on Level 4-1.
Earn an S-Rank by missing zero beats during Level 4-1.
Beats To Travel To
Earn an S-Rank on Level 4-1N.
Earn an S-Rank by missing zero beats during Level 4-1N.
Wow!
Earn an S-Rank on Level 5-1 in 2-Player Mode.
Switch to 2-Player Mode on the pager when previewing Level 5-1 and earn an S-Rank by missing zero beats.
One Slip, Too Late, S+, For Me
Earn an S-Rank on Level 5-1N.
Earn an S-Rank by missing zero beats during Level 5-1N.
Feel The Burn
Earn an A-Rank on Level 5-2N.
Earn an A-Rank or better by missing ten beats or less during Level 5-2N.
Perfect Matchmaker
Earn an S-Rank on Level 6-1.
Earn an S-Rank by missing zero beats during Level 6-1.
Perfect Finale
Earn an S-Rank on Level 7-X and Level 7-X2.
Earn an S-Rank by missing zero beats during Level 7-X and Level 7-X2.
Eavesdropping
Hear all the dialogue in Level 5-3.
Keep playing Level 5-3 long enough to hear every conversation between characters.
Focused
Earn an S-Rank on Level 1-XN.
Earn an S-Rank by missing zero beats during Level 1-XN.
Nimble
Earn an S-Rank in Beans Hopper.
Earn an S-Rank by jumping over the box of beans 60 times or more during Level 2-B1.
Hey, I Wasn't Ready Yet!
Receive a Score of 0 in Beans Hopper.
Let the box of beans hit Samurai without jumping during Level 2-B1.
World Champion
Complete Level 12 of Rhythm Weightlifter.
Play through all 12 levels of the Rhythm Weightlifter minigame (Level 5-B1) and get a high enough score on each of them to pass.
Two-Handed
Complete any level in 2-Player Mode.
Switch to 2-Player Mode on the pager when previewing a level, and complete the level in 2-Player mode.
Whole-Hearted Performance
Earn an S-Rank.
Earn an S-Rank by missing zero beats during any level.
Woof
Enter the "Rhythm Dogtor" code.
Type the arrow sequence displayed on the wall of Dr Paige's office in the Level Select menu.
I'm Dizzy
Give Dr Edega a headache in the Level Select menu.
Hold the right or left arrow key on your keyboard in the Level Select menu until Dr Edega tells you to stop.
Worth A Shot
Get scolded by Dr Edega in the Level Select menu.
Repeatedly try to enter a locked level in the Level Select menu until Dr Edega tells you to stop.