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Win the kapala from Kali.

Her Favorite0
3 guidesOffline Game ModeSingle PlayerCooperative
06 Jul 2012 08 Jul 2012
18 2 3
for those looking for an extremely simple and easy way to get this one:

Simply play co-op and make your 2nd controller carry around any damsels you find. You can carry around your partner even while they're carrying a damsel, if you're going it alone. Once you encounter a shrine to Kali you simply sacrifice the damsel AND your friend! Alternatively, after sacrificing your friend, if you can't find a damsel but CAN manage to kill yourself and land your body on the shrine, that will work as well!

Kapala and Achievement = Yours. your friend gets the achievement, too! (assuming they've got their own profile)

Shrines are pretty hard to miss; they're blood-drenched altars below a large deity, and if you blow one up you'll spawn a load of spiders.

I guarantee you'll find a Kali shrine and damsel on the same map without having to leave the mines if you're patient/lucky enough.

TO THOSE UNAWARE: YOU USE THE KAPALA TO COLLECT BLOOD. Collected blood will add up, eventually filling the cup and giving you +1 heart. This can be done infinitely, as long as you can find blood!

It's also worth noting that sacrifices to Kali stack, so if you wanted to get this one in a legitimate playthrough you'd just want to make sure to sacrifice anything and everything (anything stunnable) at every opportunity and you'll get your Kapala soon enough.

Happy spelunking!
HeffenffefferAs a bonus, you can also sacrifice yourself even if you're not dead, as long as you're stunned and on the altar. I inadvertently got the achievement this way. To do it intentionally, try standing on the altar and throwing a rock straight up so it hits the ceiling and ricochets off of you.

Note that this isn't advised if you plan on beating the game.
Posted by Heffenffeffer on 08 Aug 12 at 23:32
redjarmanIs it just random if you get the item? I just got this on literally my second ever damsel sacrifice
Posted by redjarman on 29 Aug 12 at 21:36
ThreeKingdomsRI tried for an hour and a half to find a Kali Shrine with a Damsel and an enemy who could be stunned on the same level with no success. Put on a second controller and got the achievement in 5 minutes. Thanks!
Posted by ThreeKingdomsR on 31 Aug 16 at 12:33