Those who play video games have gotten used to doing terrible things to receive achievements or unlock new abilities. There is a way to put some distance between an individual and the digital landscape they are playing on every time they do it. To receive the nasty tape n BitLife, however, is a bit worse than some of these notable cases.
To receive the villainous ribbon in the game, you must acquire an STD and then pass it on to another person. For those trying to get this ribbon, you'll probably want to play the game as a male rather than a female to eliminate the risk of your character getting pregnant. As a man, during your early years, you want it to be extremely easy later in life to sleep with the characters in the game, so you want to increase your appearance as much as possible. You can do this by hitting the gym as much as possible in your youth, improving your appearance. If your character has a hard time doing all of these, you can always go for plastic surgery, but it's an expensive endeavor.
When you turn 18 in the game, you can freely start sleeping with other people. You want to sleep with as many different people as possible, but not too many. It's a random chance when you acquire the STD, and once that happens, you continue the same process again. Not too many changes when you go through this procedure, so it's relatively routine when you have a fairly high aspect rating in the game. When you pass your STD on to another person, you should receive the tape.
There are a handful of different things you can do in the life simulator mobile game, like winning the lottery, having twins, becoming a lawyer, becoming an elf, or even going crazy.