Ultimate Survivor
Ultra rare0.8%ObjectiveOptionalSingle-player
Finish the game on Survivor difficulty
Finish the game on Survivor - a notch below Extreme, with tighter resources than the lower difficulties but manual saves intact, so far more forgiving than Extreme Survivor. Don't assume an Extreme clear grants this - the difficulty clears don't reliably stack here, so plan a dedicated Survivor run if you don't already have one.