You need a total of 60 points to fully get the max upgrade,and get the achievement. Unfortunately you can not get max carnal and max heroic in the same playthrough as there is not enough upgrades points. Collectables runes help with upgrade points as do boss kills and resisting the women sections, but i could only resist long enough for the heroic when i used a turbo controller. You need a total of 60 points to max out the upgrades. You will need to focus on one type carnal of heroic in a playthrough.