Complete each of the following achievements below to get the allotted gamerscore.
| Unlockable | |
| Tourist, Shivering Isles (20) | Enter the Shivering Isles. |
| Aspirant, Shivering Isles (20) | Reach Aspirant Rank in the Court of Madness. |
| Citizen, Shivering Isles (20) | Reach Citizen Rank in the Court of Madness. |
| Madman, Shivering Isles (20) | Reach Madman Rank in the Court of Madness. |
| Honored Madman, Shivering Isles (20) | Reach Honored Madman Rank in the Court of Madness. |
| Duke Dementia, Shivering Isles (30) | Reach Duke of Dementia Rank in the Court of Madness. |
| Duke Mania, Shivering Isles (30) | Reach Duke of Mania Rank in the Court of Madness. |
| Regent, Shivering Isles (20) | Reach Regent Rank in the Court of Madness. |
| Defender, Shivering Isles (20) | Reach Defender of the Realm Rank in the Court of Madness. |
| Madgod, Shivering Isles (50) | Stop the Greymarch. |
