This is my first save upload<br />
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It is after you beat the final boss. I already had the other achievements before getting this point, but when I did this it popped all the difficulty achievements. <br />
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Please note you cannot access the hardest difficulty until the end of the game so if you want it to look legit, beat the game once before using.<br />
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It hasn't been tested but it should not pop any of the other achievements.
Duke Nukem Forever Load and Pop Insane Difficulty 04/06/2016
Duke Nukem Forever Load and Pop Insane Difficulty