Talk:Clean Hands/@comment-24732633-20140325043717

I believe that you have to start the game BRAND NEW in order to get ANY of these achievements. Like Clean Hands, Surgical, Ghosts, or any others that require you to not be alerted or kill anyone. I went through the game without killing or alerting anyone and I only got the achievement for low chaos. But I used the mission select option. I didn't kill or hurt granny rags or any of the other common things causing complications. I haven't proven this to be true just yet, but I'm going to go for a third playthrough to get those achievements.