Every spectrum is the K-theory of a stable $\infty$-category

We prove that any spectrum is equivalent to the nonconnective K-theory of a stable $\infty$-category. We use these results to construct a stable $\infty$-category $\mathcal{C}$ with a bounded t-structure such that $\operatorname{K}(\mathcal{C})$ is not equivalent to $\operatorname{K}(\mathcal{C}^\heartsuit)$, disproving a conjecture of Antieau, Gepner, and Heller.