If these are ceramic ect; and they are solid ;leave alone.
Depending on what you are going to replace them with;you could
screed over joints ect with floor compound .
If you have to lift them you could use a chisel or hire a small power tool
with a chisel point.;but even then you could be left with rough floor and
still have to screed.
I your going to lay a vinly you might cover with ply this you would have to be
fixed with rawlplugs/screws.
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