I actually was playing something the other day that literally had an achievement like tbe bottom one. That one is rare af. Most are closer to the top one, which is generally why I don't care about them.

The achievement really was "Beat the game without taking damage on the hardest difficulty in under X minutes using Extra Enemies, Random Loot, and some 3rd modifier I can't remember."

I think it was Lords of the Fallen, actually 🤔 The moment I read it I was like "Welp... I'm never 100%ing this."