Some Of The Harder ones to get
Piss off Starman
Dont get the star in level 3 i believe and he gets pissed off and u get this
Beat the game... naked
You need to get the starman power down in level 5 an get to the final boss with it ideally at full life. However he can actually be beat naked without taking one hit don't know if that was intended
Sir Die-a-lot
Just die like 20 times in a row in one screen
No dignity whatsoever
Lose to the last boss like 6 times by jumping down the hole and they make him easier and u get this
Kill everyone
You don't need to kill every single saw this isn't actually possible but get as many as you can every other enemy is killable
Forgive and forkill.
When an enemy starts telling the Yo Mama joke let him tell it all the way and wait until you forgive him then quickly kill him
btw nearly perfect score here 61,020 =)