This is obtained for meeting the requirements for the bad ending of the game.
This will unlock at the end of your play through - at the start of the credits.
To get the bad ending you must finish the game with bad Kama by doing the following:
Kill the cult members in The VOLGA.
Kill the slaves and don’t set them free in The CASPIAN.
Kill as many of the students in The TAIGR as you can.
Also, killing any surrendering humans will result in bad Kama as well.