.
It means EITHER
x^2 - 20x - 1 = 20
OR
x^2 - 20x - 1 = -20.
Case 1) : x^2 - 20x - 1 = 20.
Then x^2 - 20x - 21 = 0.
Factor left side (x-20)*(x+1) = 0
giving the roots x= 20 and x= -1.
Case 2) : x^2 - 20x - 1 = -20.
Then x^2 - 20x + 19 = 0.
Factor left side (x-19)*(x-1) = 0
giving the roots x= 19 and x= 1.
ANSWER. There are 4 solutions x= -1, 1, 19 and 20.
Solved.
For your better understanding, here the plot is
Plot y = |x^2 - 20x - 1| (red) and y = 20 (green)