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Also, you might use the Heart of Holy purge on boss fights just to be safe.
-Used Viridiana once in the fight against the baby (accidentally);
-Used the guilt fragments for recovery very often;
-Accidentally hit the flask button during the final boss, killed myself, and went back and killed him without using it.
Still got the achievement in the end. So, pretty sure the main thing is to not use flasks at all and then finish the boss. Not sure if using the prayer that heals on hit counts, but I'm assuming not.