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TruckOSaurus said:
Does this mean the only story progression trophies could be awarded? If it's based on "detected disk access", I don't think this could be used for "score 50,000 points in level 2" or "kill this Boss in less than 2 minutes" kind of trophies.

It can. Think of it as a game trainer, or like a Game Genie. They don't change the game's actual code, they just change the values stored in memory. This would presumably work similarly to that.