How many Pathogenic game achievements are on Steam?
41 trophies on PC (App 3808690). The category table above lists every entry by codex group.
Pathogenic game achievements on Steam: all 41 trophies by category with unlock tips, missable brain cipher warnings, plasmid loadout ties, and co-op notes.
Pathogenic game achievements context — per-seed brain cipher chain, secret room organelle, and heart door inputs for the hidden Brain trophy.
~12 min read
This pathogenic game achievements guide lists all 41 Steam trophies for Pathogenic on Steam — the twin-stick organelle-grafting roguelike from Aberrant Labs (publisher Slug Disco). We say Pathogenic game in titles so Google separates this video game from biology "pathogenic" articles, not medical pathogen definitions.
Trophies sort into six codex buckets: organ region boss clears, pathogen-specific heart wins, antibiotic difficulty tiers, standalone experiments, full loadout plasmid trees, and four hidden entries including the brain finale. Pair this checklist with the walkthrough, pathogens, and plasmid tree guides when you chain unlocks.
Verified July 27, 2026 · App 3808690 · full release July 16, 2026 · Steam store · 7 pathogens · 6 organ biomes · 120+ organelles.

| Fact | Detail |
|---|---|
| Total trophies | 41 on Steam PC |
| Categories | 6 codex groups (see table below) |
| Hardest standard | Heart on Antibiotics Max + God Mode experiment |
| Hidden count | 4 (Brain route · collector · meta) |
| Pathogen unlocks | 6 codex achievements gate roster — see pathogens |
| Plasmid tie-in | 6 loadout trophies = fully funded per-species trees |
Steam Community stats show 41 achievements total. The in-game codex mirrors the table below — use it as your checklist order when planning a 100% file. Percentages vary by category: region boss trophies unlock for most players who finish a run, while Overachiever and God Mode sit at the long tail.
| Category | Count | Requirement summary | Missable? |
|---|---|---|---|
| Regions | 6 | Defeat each organ boss from Skin through Heart | None — any pathogen · any antibiotic tier |
| Pathogens | 6 | Defeat the Heart boss with each playable species | Unlock species first via codex achievements |
| Antibiotics | 4 | Beat the Heart boss on Low / Mid / High / Max antibiotic | Mid unlocks Protozoa route · Max is endgame |
| Experiments | 15 | Complete challenge modifiers from the experiment menu | Separate from normal organ runs |
| Loadouts | 6 | Fully unlock each pathogen loadout in the plasmid tree | Tied to plasmid fragment farming per species |
| Hidden | 4 | Secret endings, collector routes, and the meta trophy | Brain chain is per-seed · missable mid-run |
Region trophies teach the organ route every player learns once. Pathogen and Loadout rows intentionally overlap — you cannot earn all six heart-species trophies until codex unlock achievements fire, and loadout trophies demand you spend boss plasmid fragments on every node in that species tree. Read plasmid tree before you assume a heart clear equals a finished pathogen.
The Experiments bucket is separate from story organs. Each entry is a modifier challenge selected from the experiment menu — think of them as Pathogenic's answer to heat modifiers or challenge seeds. They do not replace antibiotic tiers; you still need four distinct heart clears on Low through Max for the antibiotic row.
Six region achievements pop when you defeat each organ boss from Skin through Heart. Six more require beating [object Object] while playing a specific pathogen. Virus (the seventh solo species) does not have its own heart trophy row — the codex stops at six playable heart clears plus Diatom co-op.
| Region | Trophy trigger | Boss context | Route tip |
|---|---|---|---|
| Skin | Defeat the Skin boss | Tutorial finale — first boss checkpoint | Any starter build · teaches graft rewards |
| Intestine | Defeat the Intestine boss | Multicloned Giant Cell-style finale | First sigil key for brain route |
| Stomach | Defeat the Stomach boss | Acid arena · gastric conglomerate | Needs skin secret organelle for hidden sigil |
| Liver | Defeat the Liver boss | Collector room economy check | Hold currency before hepatic sentinel |
| Lung | Defeat the Lung boss | Airflow · pulmonary giant cell | Protozoa unlock requires Lungs on Antibiotics Mid |
| Heart | Atrioventricular Node bullet hell | Opens endless mode · gates brain door puzzle |
After codex unlocks, schedule six heart wins — one per species. Order most players use: Bacterium first (default), Helminth or Fungal Spore for variety, Amoeba once the editor makes sense, Nanobot when armor systems click, Diatom when co-op is available. Full unlock requirements live on pathogens.
| Pathogen | Heart trophy | Codex unlock gate | Plasmid note |
|---|---|---|---|
| Bacterium | Defeat Heart with Bacterium | Default species — first heart clear | Unlocks Helminth codex achievement |
| Helminth | Defeat Heart with Helminth | Melee spike specialist | Unlock after Bacteria organ boss clear |
| Fungal Spore | Defeat Heart with Fungal Spore | Minion swarm commander | Unlock via multi-kill room counter |
| Amoeba | Defeat Heart with Amoeba | Flexible reshape body | Unlock via high graft count in one run |
| Nanobot | Defeat Heart with Nanobot | Armor tank pathogen | Unlock by holding eight armor at once |
| Diatom | Defeat Heart with Diatom | Co-op split-body species | Enable co-op · not counted toward Virus unlock grind |
Four antibiotic trophies need heart wins on escalating difficulty tiers. Fifteen experiment trophies need standalone challenge clears — none of them substitute for a Mid clear if you still need Protozoa unlocked.
| Antibiotic tier | Trophy trigger | When to attempt | Unlock tie |
|---|---|---|---|
| Low | Heart clear on Antibiotics Low | Default difficulty — first full-host route | Start here for region trophies |
| Mid | Heart clear on Antibiotics Mid | Higher enemy density · less shop mercy | Required setting for Protozoa unlock achievement |
| High | Heart clear on Antibiotics High | Tight DPS checks on A/V Node | Farm plasmid HP nodes first |
| Max | Heart clear on Antibiotics Max | Hardest standard antibiotic tier | Save for after loadout trees are funded |
Experiments rotate rules that would feel unfair on a first clear — extra mutation volatility, economy drains, visibility cuts, or extreme scaling in God Mode. Chip them off between antibiotic pushes when your main pathogen loadout is 60–80% funded. Failed attempts still teach mechanic counters for Antibiotics High.
| Experiment | Trophy trigger | Modifier gist | Build hint |
|---|---|---|---|
| Photosynthesis | Complete Photosynthesis experiment | Light / energy modifier challenge | Mitochondria-heavy builds shine |
| Phagocytosis | Complete Phagocytosis experiment | Melee absorption focus | Pairs with Helminth plasmid nodes |
| Recombination | Complete Recombination experiment | DNA shuffle rules | Read mutation picks carefully |
| Fulminant | Complete Fulminant experiment | Fast escalation timer | Mobility grafts over raw DPS |
| Mutagenesis | Complete Mutagenesis experiment | Extra mutation volatility | Avoid Cancerous clones unless planned |
| Asymmetry | Complete Asymmetry experiment | Uneven body layout rules | Amoeba or Diatom comfort picks |
| Excitation | Complete Excitation experiment | Overcharge pressure | Stack mitochondria triggers |
| God Mode | Complete God Mode experiment | Extreme enemy scaling | Late-game plasmid requirement |
| Hyperplasia | Complete Hyperplasia experiment | Growth / clone mechanics | Watch Ephemeral trait recycling |
| Lysis | Complete Lysis experiment | Burst damage windows | Secretor chains for spike phases |
| Necrosis | Complete Necrosis experiment | Decay / attrition rules | Sustain and armor win |
| Plutomania | Complete Plutomania experiment | Economy / core hoarding | Save shops for boss prep |
| Metamorphosis | Complete Metamorphosis experiment | Mid-run body morph rules | Reshape-friendly pathogens |
| Tachycardia | Complete Tachycardia experiment | Heart-rate tempo modifier | Dash stamina management |
| Nyctalopia | Complete Nyctalopia experiment | Visibility / darkness rules | Range and homing help |
Photosynthesis, Phagocytosis, and Excitation teach systems you already use in organs — energy chains, melee absorption, and mitochondria overcharge. Save God Mode, Fulminant, and Necrosis until Bacterium or Nanobot loadouts add stash slots and raw HP. Community footage for advanced graft chains appears in the builds hub when you need DPS benchmarks.
Six loadout achievements mean fully unlocking every plasmid node for that species — not merely beating a run with them equipped. Bosses drop plasmid fragments only for the pathogen you controlled that run, so loadout trophies are the slowest category after experiments.

| Loadout trophy | Requirement | Tree focus | Farm strategy |
|---|---|---|---|
| Bacterium Loadout | Fully unlock Bacterium plasmid loadout | Baseline stash · HP · reroll nodes | Finish first — funds unlock grinding |
| Helminth Loadout | Fully unlock Helminth plasmid loadout | Spike damage · knockback radius | After Helminth heart trophy |
| Fungal Spore Loadout | Fully unlock Spore plasmid loadout | Minion cap · spawn rate | Long swarm farming runs |
| Amoeba Loadout | Fully unlock Amoeba plasmid loadout | Reshape speed · extra internal slot | Hybrid editor layouts |
| Nanobot Loadout | Fully unlock Nanobot plasmid loadout | Armor retain · core burst | Antibiotics Mid comfort |
| Diatom Loadout | Fully unlock Diatom plasmid loadout | Co-op split control upgrades | Duo fragment farming |
Dying as Amoeba still banks fragments for Amoeba only. Many players complete Bacterium's first horizontal row — stash slot, +HP, reroll — before investing in specialty trees. That Bacterium loadout trophy becomes your foundation for grinding Helminth and Spore heart clears on Antibiotics Mid.
Several plasmid purchases swap default starting organelles, which changes early-room tempo more than a flat +10% damage line. When a loadout trophy stalls, check whether you skipped branch nodes that gate alternate weapons — the codex marks tree completion percentage per species.
Diatom Loadout expects duo play or solo split-control (press X on Diatom per the July 22 patch). Run easier antibiotic tiers with a partner stacking shared room clears; fragments still credit Diatom's tree. Details on split roles: co-op guide.
Overachiever is the meta trophy — earn the other 40 first. This phased checklist minimizes backtracking across organs, pathogens, antibiotics, experiments, and plasmid loadouts.
| If you are stuck… | Check this first |
|---|---|
| Missing a pathogen heart trophy | Codex unlock achieved? · correct species selected at run start |
| Protozoa still locked | Lungs clear on Antibiotics Mid — not Low |
| Brain door will not open | Four sigils in one run · per-seed code · secret rooms |
| Loadout stuck at 90% | Missed branch node? · fragments only credit active pathogen |
| Experiment keeps failing | Switch pathogen · lower antibiotic for practice · read modifier tooltip |
| Diatom trophies missing | Co-op enabled · solo split Diatom with X · co-op guide |
Most counters track per profile — confirm in your lobby whether co-op partner heart clears count for both players before you schedule six species wins. Diatom-specific trophies explicitly require playing that species; boosting on Bacterium will not fill Diatom rows.
Shift+Tab → Achievements shows locked descriptions once progress registers. Hidden entries stay vague until unlock — use this page for spoiler-safe prep. Steam Deck Verified status means overlay tracking works handheld; replug for glyph rooms if touch controls drift.
41 trophies on PC (App 3808690). The category table above lists every entry by codex group.
Pathogenic game on Steam only — Aberrant Labs' roguelike, not medical pathogen definitions.
Overachiever (100% meta) and late experiments like God Mode sit at the lowest global unlock rates. Antibiotics Max heart clears are the slowest standard organ trophy.
The Brain hidden chain resets on death mid-cipher. Region and experiment trophies are not missable once you meet the requirement.
Related but separate — codex unlocks (e.g., multi-kill rooms for Spore) gate roster access; heart trophies need a win as that species. See pathogens.
Skin and Intestine region boss clears on a first Bacterium run, plus Antibiotics Low heart if you reach the finale.
Yes — "fully unlock loadout" means 100% tree completion for that species. Boss fragments are pathogen-locked; see plasmid tree.
Matched by build plan, shared topics, and guide progression — not random related links.