| icon | info | RA score |
|---|---|---|
 | First Blood Suck some blood from Rena's thigh and complete Stage 1. | 3points |
 | Old Blood, New Blood Suck some blood from Kaneyo's calf and complete Stage 2. | 3points |
 | Bloody, Lazy Sunday Suck some blood from Kenichi's bald head and complete Stage 3. | 3points |
 | A Real Bloodbath Peek in on Rena's bathtime and complete Stage 4. | 5points |
 | A Taste Of Blood Get a whiff of what Kaneyo's cooking for dinner and complete Stage 5. | 5points |
 | There Will Be Blood (On Her Hands) Take part in Rena's oddly intense training and complete Stage 6. | 5points |
 | Still Blood Runs Deep Interrupt Kenichi's private flower time and complete Stage 7. | 5points |
 | Fresh Meat? New Blood! Suck, suck and suck some more from Ayaka until she's bone dry and complete Stage 8. | 5points |
 | Blood Is Thicker Than Bug Spray Defeat Kaneyo and complete Stage 9. | 5points |
 | She's After Blood Defeat Rena and complete Stage 10. | 5points |
 | A Bloody, Bloody Brawl Defeat Kenichi and complete Stage 11. | 10points |
 | Flesh And Blood Suck the last drops of blood you need and beat the game. | 25points |
 | Pure White Unlock the White colored costume. | 2points |
 | Soothing Dark Green Unlock the Dark Green colored costume. | 2points |
 | Pretty Pink Unlock the Pink colored costume. | 2points |
 | Bloody Red Unlock the Red colored costume. | 2points |
 | Mellow Yellow Unlock the Yellow colored costume. | 2points |
 | Cool Blue Unlock the Blue colored costume. | 2points |
 | Sleek Grey Unlock the Grey colored costume. | 2points |
 | Calming Green Unlock the Green colored costume. | 2points |
 | Morose Maroon Unlock the Maroon colored costume. | 5points |
 | Airy Sky Blue Unlock the Sky Blue colored costume. | 5points |
 | Powerful Purple Unlock the Purple colored costume. | 5points |
 | Domi Arigato, Mister Mosquito Unlock the Robot costume. | 5points |
 | Bloody Summer Finish the game with all 16 EX tanks filled. | 25points |
 | Microwave Special Complete Stage 5's microwave challenge and escape before you get fried. | 5points |
 | In N Out I Complete Stage 1 in 1'06'00 or less. | 5points |
 | Chikungunya Calamity Beat the game with a C rank or higher(US)/Beat the game with a B rank or higher(JP). | 10points |
 | Dengue Disarray Beat the game with a B rank or higher(US)/Beat the game with an A rank or higher(JP). | 10points |
 | Malaria Madness Beat the game with an A rank(US)/Beat the game with an S rank(JP). | 50points |
 | A Feast Fit For A Mosquito Collect every food item in either Year 1 or 2. | 5points |
 | The Most Intense Battle In The Universe Win 10 rounds of Reckless Cyclist. | 1points |
 | Battle In Rena's Room Defeat Rena in Stage 2-1 within 0'33'90. | 3points |
 | Battle In The Closet Defeat Kaneyo in Stage 2-2 in under 0'52'90. | 3points |
 | Battle In The Living Room Defeat Kenichi in Stage 2-3 in under 0'50'65. | 3points |
 | Battle In The Bathtub Defeat Rena in Stage 2-4 in under 0'25'16. | 2points |
 | Battle In The Kitchen Defeat Kaneyo in Stage 2-5 in under 1'17'05. | 5points |
 | Battle In Rena's Room II Defeat Rena in Stage 2-6 in under 1'14'91. | 5points |
 | Battle In The Japanese Room Defeat Kenichi in Stage 2-7 in under 0'54'45. | 5points |
 | Battle In Rena's Room III Defeat Ayaka in Stage 2-8 in under 0'34'10. | 3points |
 | Final Battle With Kaneyo Defeat Kaneyo in Stage 2-9 in under 1'45'16. | 5points |
 | Final Battle With Rena Defeat Rena in Stage 2-10 in under 1'44'16. | 5points |
 | Final Battle With Kenichi Defeat Kenichi in Stage 2-11 in under 1'43'86. | 5points |
 | Overdrawing At The Blood Bank Obtain 11 heart containers. | 10points |
 | Ninjas Make Great Housewives Complete Stage 2-9 without taking any damage. | 10points |
 | Like Mother, Like Daughter Complete Stage 2-10 without taking any damage. | 10points |
 | The Man Of The House Complete Stage 2-11 without taking any damage. | 10points |
 | In N Out II Complete Stage 2 in 1'25'00 or less. | 5points |
 | In N Out III Complete Stage 3 in 1'05'00 or less. | 5points |
 | In N Out IV Complete Stage 4 in 1'13'00 or less. | 5points |
 | In N Out V Complete Stage 5 in 1'30'00 or less. | 5points |
 | In N Out VI Complete Stage 6 in 1'55'00 or less. | 5points |
 | In N Out VII Complete Stage 7 in 2'35'00 or less. | 5points |
 | In N Out VIII Complete Stage 8 in 3'10'00 or less. | 5points |
 | In N Out IX Complete Stage 9 in 1'35'00 or less. | 5points |
 | In N Out X Complete Stage 10 in 1'40'00 or less. | 5points |
 | In N Out XI Complete Stage 11 in 1'35'00 or less. | 10points |
 | In N Out XII Complete Stage 12 in 3'10'00 or less. | 5points |
 | Kaneyo VS Kaneyo Defeat Kaneyo AS Kaneyo | 0points |
 | Kenichi VS Kenichi Defeat Kenichi AS Kenichi | 0points |
 | Float Like a Butterfly, Sting Like A Mosquito Beat the game in under 1 hour in a single session. | 25points |
 | Kleptomaniac Mosquito Collect every item in the game and achieve an item recovery percentage of 100%. | 10points |
 | Endless Summer Beat the game with all EX Tanks filled again in Year 2 for a surprise... | 10points |
