01  /  Trophy Ladder

Every trophy in the game.

105 achievements across 18 categories. Run-bound trophies fire mid-session; lifetime ones accrue across every pathogen and difficulty. 12 are hidden — their requirements stay secret until you unlock them in-game.

BRONZE ×12
SILVER ×29
GOLD ×31
PLATINUM ×20
DIAMOND ×13
02

Distance & Survival

12 trophies
  1. #001 BRONZE
    First Steps

    Travel 1,000 distance units in a single run.

    SINGLE RUN
  2. #002 BRONZE
    Getting Warmer

    Travel 8,000 distance units in a single run.

    SINGLE RUN
  3. #003 SILVER
    Deep Vein Thrombosis

    Travel 15,000 distance units in a single run.

    SINGLE RUN
  4. #004 GOLD
    Marathon Microbe

    Travel 30,000 distance units in a single run.

    SINGLE RUN
  5. #005 PLATINUM
    Circulatory Tour

    Travel 75,000 distance units in a single run.

    SINGLE RUN
  6. #006 DIAMOND
    Eternal Pathogen

    Travel 100,000 distance units in a single run.

    SINGLE RUN
  7. #007 SILVER
    Frequent Flyer

    Travel 1,000,000 total distance units across all runs.

    LIFETIME
  8. #008 GOLD
    Blood Mileage

    Travel 2,500,000 total distance units across all runs.

    LIFETIME
  9. #009 BRONZE
    Survive 60 Seconds

    Stay alive for 60 seconds in a single run.

    SINGLE RUN
  10. #010 SILVER
    Eight Minute Fever

    Stay alive for 8 minutes in a single run.

    SINGLE RUN
  11. #011 GOLD
    Chronic Infection

    Stay alive for 15 minutes in a single run.

    SINGLE RUN
  12. #012 DIAMOND
    Patient Zero

    Stay alive for 30 minutes in a single run.

    SINGLE RUN
03

Level Progression

5 trophies
  1. #013 BRONZE
    Level Up

    Reach level 2 for the first time.

    SINGLE RUN
  2. #014 SILVER
    Getting Serious

    Reach level 10.

    SINGLE RUN
  3. #015 GOLD
    Outbreak

    Reach level 20.

    SINGLE RUN
  4. #016 PLATINUM
    Veteran Strain

    Reach level 26.

    SINGLE RUN
  5. #017 DIAMOND
    Superbug

    Reach level 32.

    SINGLE RUN
04

Score

6 trophies
  1. #018 BRONZE
    Twenty Five Grand

    Score 25,000 points in a single run.

    SINGLE RUN
  2. #019 SILVER
    One-Fifty K

    Score 150,000 points in a single run.

    SINGLE RUN
  3. #020 GOLD
    High Roller

    Score 800,000 points in a single run.

    SINGLE RUN
  4. #021 PLATINUM
    One Point Five Mil

    Score 1,500,000 points in a single run.

    SINGLE RUN
  5. #022 DIAMOND
    Pandemic Score

    Score 3,000,000 points in a single run.

    SINGLE RUN
  6. #023 GOLD
    Cumulative Threat

    Score 25,000,000 total points across all runs.

    LIFETIME
05

Collectibles — Mitochondria

8 trophies
  1. #024 BRONZE
    Powerhouse Starter

    Collect 150 mitochondria in a single run.

    SINGLE RUN
  2. #025 SILVER
    Energy Harvester

    Collect 750 mitochondria in a single run.

    SINGLE RUN
  3. #026 GOLD
    Powerhouse of the Cell

    Collect 1,200 mitochondria in a single run.

    SINGLE RUN
  4. #027 PLATINUM
    ATP Overload

    Collect 1,750 mitochondria in a single run.

    SINGLE RUN
  5. #028 SILVER
    Mitochondrial Eve

    Collect 25,000 total mitochondria across all runs.

    LIFETIME
  6. #029 GOLD
    Green Machine

    Collect 75,000 total mitochondria across all runs.

    LIFETIME
  7. #030 SILVER
    Mito Streak

    Collect 75 mitochondria without taking any damage.

    SINGLE RUN
  8. #031 GOLD
    Perfect Harvest

    Collect 150 mitochondria in a row without taking damage.

    SINGLE RUN
06

Collectibles — Enzymes & Megahealth

7 trophies
  1. #032 BRONZE
    Enzyme Enthusiast

    Collect 75 enzymes in a single run.

    SINGLE RUN
  2. #033 SILVER
    Catalytic Converter

    Collect 175 enzymes in a single run.

    SINGLE RUN
  3. #034 GOLD
    Enzyme Hoarder

    Collect 15,000 total enzymes across all runs.

    LIFETIME
  4. #035 BRONZE
    Mega Find

    Collect your first megahealth.

    SINGLE RUN
  5. #036 GOLD
    Double Helix Hunter

    Collect 8 megahealth pickups in a single run.

    SINGLE RUN
  6. #037 SILVER
    Overheal Addict

    Collect 100 megahealth pickups across all runs.

    LIFETIME
  7. #038 PLATINUM
    ??? ⛓ HIDDEN

    "Peak performance" — unlock to reveal.

    SINGLE RUN
07

Multiplier & Combos

7 trophies
  1. #039 BRONZE
    Combo Starter

    Reach a 2.0x score multiplier.

    SINGLE RUN
  2. #040 SILVER
    Hot Streak

    Reach a 3.0x score multiplier.

    SINGLE RUN
  3. #041 GOLD
    Unstoppable

    Reach the maximum 5.0x score multiplier.

    SINGLE RUN
  4. #042 PLATINUM
    Diamond Hands

    Maintain 5.0x multiplier for 45 seconds without losing it.

    SINGLE RUN
  5. #043 DIAMOND
    Ironclad Combo

    Maintain 5.0x multiplier for 90 seconds.

    SINGLE RUN
  6. #044 GOLD
    ??? ⛓ HIDDEN

    "Never give up" — unlock to reveal.

    SINGLE RUN
  7. #045 GOLD
    ??? ⛓ HIDDEN

    "Less is more" — unlock to reveal.

    SINGLE RUN
08

Invulnerability

6 trophies
  1. #046 BRONZE
    Shield Up

    Trigger invulnerability for the first time (collect 50 mitochondria).

    SINGLE RUN
  2. #047 SILVER
    Battering Ram

    Block 7 obstacles during a single invulnerability window.

    SINGLE RUN
  3. #048 GOLD
    ??? ⛓ HIDDEN

    "Unstoppable force" — unlock to reveal.

    SINGLE RUN
  4. #049 GOLD
    Serial Immunity

    Trigger invulnerability 5 times in a single run.

    SINGLE RUN
  5. #050 PLATINUM
    Permanent Residence

    Trigger invulnerability 8 times in a single run.

    SINGLE RUN
  6. #051 DIAMOND
    ??? ⛓ HIDDEN

    "Why move?" — unlock to reveal.

    SINGLE RUN
09

Health & Damage

8 trophies
  1. #052 BRONZE
    Scratch That

    Take damage for the first time.

    SINGLE RUN
  2. #053 SILVER
    Thick Skin

    Take 800 total damage in a single run and still survive to level 4.

    SINGLE RUN
  3. #054 GOLD
    Untouchable

    Complete a full level (level-up to level-up) without taking any damage.

    SINGLE RUN
  4. #055 PLATINUM
    Pacifist Run

    Reach level 6 without taking a single hit.

    SINGLE RUN
  5. #056 DIAMOND
    Flawless

    Reach level 12 without taking any damage.

    SINGLE RUN
  6. #057 SILVER
    ??? ⛓ HIDDEN

    "The edge" — unlock to reveal.

    SINGLE RUN
  7. #058 GOLD
    ??? ⛓ HIDDEN

    "From the ashes" — unlock to reveal.

    SINGLE RUN
  8. #059 PLATINUM
    ??? ⛓ HIDDEN

    "Last breath" — unlock to reveal.

    SINGLE RUN
10

Boss Fights — General

6 trophies
  1. #060 BRONZE
    First Encounter

    Survive your first boss fight.

    SINGLE RUN
  2. #061 SILVER
    Boss Slayer

    Defeat all 6 boss types at least once.

    LIFETIME
  3. #062 GOLD
    Boss Rush

    Defeat 3 bosses in a single run.

    SINGLE RUN
  4. #063 PLATINUM
    Immune Deficiency

    Defeat 8 bosses in a single run (full boss cycle + repeat).

    SINGLE RUN
  5. #064 GOLD
    No-Hit Boss

    Survive any boss encounter without taking damage.

    SINGLE RUN
  6. #065 DIAMOND
    Flawless Gauntlet

    Defeat all 6 boss types in a single run without taking boss damage.

    SINGLE RUN
11

Boss Fights — Macrophage

4 trophies
  1. #066 SILVER
    Escape Artist

    Survive the Macrophage engulf phase without taking damage.

    SINGLE RUN
  2. #067 GOLD
    Slam Dancer

    Dodge all tendril slams in Macrophage phase 1 without being hit.

    SINGLE RUN
  3. #068 PLATINUM
    Indigestible

    Defeat the Macrophage without taking any damage.

    SINGLE RUN
  4. #069 GOLD
    Too Fast to Eat

    Survive the Macrophage engulf phase at Hard difficulty without taking damage.

    SINGLE RUN
12

Boss Fights — T-Cell

5 trophies
  1. #070 SILVER
    Web Walker

    Step on 5 spider webs and survive the T-Cell fight.

    SINGLE RUN
  2. #071 GOLD
    Clean Feet

    Defeat the T-Cell without stepping on any spider webs.

    SINGLE RUN
  3. #072 SILVER
    Neutralized

    Collect all 5 neutralizer pickups in a single T-Cell fight.

    SINGLE RUN
  4. #073 PLATINUM
    ??? ⛓ HIDDEN

    "The hard way" — unlock to reveal.

    SINGLE RUN
  5. #074 PLATINUM
    Untangled

    Defeat the T-Cell without taking any damage.

    SINGLE RUN
13

Boss Fights — Bacteriophage T4

4 trophies
  1. #075 SILVER
    Phage Dodger

    Survive Bacteriophage phase 1 (sweep) without being hit.

    SINGLE RUN
  2. #076 GOLD
    Counter-Sweep

    Survive Bacteriophage phase 2 (counter-sweeps) without being hit.

    SINGLE RUN
  3. #077 PLATINUM
    DNA Firewall

    Survive Bacteriophage phase 3 (DNA injection) without being hit.

    SINGLE RUN
  4. #078 PLATINUM
    Lysogeny Denied

    Defeat the Bacteriophage without taking any damage.

    SINGLE RUN
14

Boss Fights — Eosinophil

4 trophies
  1. #079 SILVER
    Granule Dodger

    Survive 15 seconds of Eosinophil's dual projectile streams.

    SINGLE RUN
  2. #080 GOLD
    Lightning Reflexes

    Navigate through 3 Eosinophil lightning walls without damage.

    SINGLE RUN
  3. #081 PLATINUM
    Predictably Unpredictable

    Survive the Eosinophil's predictive stream B for the entire fight on Hard.

    SINGLE RUN
  4. #082 DIAMOND
    ??? ⛓ HIDDEN

    "Surgical precision" — unlock to reveal.

    SINGLE RUN
15

Difficulty-Specific

7 trophies
  1. #083 SILVER
    Easy Street

    Reach level 10 on Easy difficulty.

    SINGLE RUN
  2. #084 GOLD
    Normal Service

    Reach level 12 on Normal difficulty.

    SINGLE RUN
  3. #085 PLATINUM
    Hardened Pathogen

    Reach level 12 on Hard difficulty.

    SINGLE RUN
  4. #086 PLATINUM
    Hard Boss Sweep

    Defeat all 6 boss types on Hard difficulty.

    LIFETIME
  5. #087 DIAMOND
    Masochist

    Score 800,000 points on Hard difficulty.

    SINGLE RUN
  6. #088 GOLD
    Easy Perfection

    Reach level 6 on Easy without taking damage.

    SINGLE RUN
  7. #089 SILVER
    Hard Starter

    Reach level 6 on Hard difficulty.

    SINGLE RUN
16

Pathogen-Specific

7 trophies
  1. #090 SILVER
    Vibrio Victory

    Reach level 15 as Vibrio cholerae.

    LIFETIME
  2. #091 SILVER
    Salmonella Sprint

    Reach level 15 as Salmonella.

    LIFETIME
  3. #092 SILVER
    Rotavirus Roll

    Reach level 15 as Rotavirus.

    LIFETIME
  4. #093 SILVER
    Influenza Infiltrator

    Reach level 15 as Influenzavirus.

    LIFETIME
  5. #094 GOLD
    Biodiversity

    Reach level 15 with each of the 4 pathogens.

    LIFETIME
  6. #095 PLATINUM
    Pathogen Master

    Reach level 20 with each of the 4 pathogens.

    LIFETIME
  7. #096 DIAMOND
    Omni-Infection

    Score 800,000+ points with each of the 4 pathogens on Hard difficulty.

    LIFETIME
17

Streak

3 trophies
  1. #097 SILVER
    Week Warrior

    Maintain a 7-day login streak.

    LIFETIME
  2. #098 GOLD
    Monthly Menace

    Maintain a 30-day login streak.

    LIFETIME
  3. #099 DIAMOND
    ??? ⛓ HIDDEN

    "How dedicated are you?" — unlock to reveal.

    LIFETIME
18

Boss Fights — Basophil

3 trophies
  1. #100 SILVER
    Ring Reader

    Survive Basophil phase 1 (static rings) without taking damage.

    SINGLE RUN
  2. #101 GOLD
    Dual Gap Dancer

    Survive Basophil phase 3 (twin counter-rotating gaps) without taking damage.

    SINGLE RUN
  3. #102 PLATINUM
    Nova Shield

    Defeat Basophil without taking any damage.

    SINGLE RUN
19

Boss Fights — Neutrophil

3 trophies
  1. #103 SILVER
    Netless Dodge

    Survive Neutrophil phase A (drifting walls + minions) without taking damage.

    SINGLE RUN
  2. #104 GOLD
    Net Weaver

    Step on 5 Neutrophil NET-webs and survive the fight.

    SINGLE RUN
  3. #105 DIAMOND
    ??? ⛓ HIDDEN

    "Untouched by the storm" — unlock to reveal.

    SINGLE RUN
▸ Ready to climb?

Pick a pathogen. Start the streak.

Persistent high scores per pathogen and difficulty, lifetime stats across every run, daily login streaks. Bronze trophies start firing in your first minute of play.

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