?, as they cannot gain red heart containers (except for counting towards the Spun transformation), REPENTANCE - Adrenaline now grants an increasingly higher damage bonus the more empty heart containers Isaac has, * Adderline, pink, syringe, needle, injection, Isaac gains electric tears, which fire 1-2 sparks of electricty in random directions upon hitting any object or enemy, The electricity will chain between nearby enemies, The electricty deals half of your normal tear damage, Tear effects will still apply to your electricty sparks in a lot of cases. This chance doesnt change if you take further damage, You effectively have a 4.4% chance for every minute that passes after taking damage to die, Self-inflicted damage i.e. Keys and bombs are equal to 3 coins for deciding which to give, Item Pool: Boss Room, Golden Chest, Crane Game, Grants a large orbital that rotates around Isaac, When the orbital takes a few hits, they split into two smaller ones, After the smaller orbitals take another hit, they explode into 2 blue spiders, This item will respawn after a period of time, UNLOCK: Unlock this item by defeating Mother in the Corpse II as Lazarus, Your bombs now explode and fire 4 Brimstone lasers in all cardinal directions, Each brimstone laser deals 8 damage per tick for 13 total hits, UNLOCK: Unlock this item by killing Hornfel before he can escape after breaking his minecart, Item Pool: Devil Room, Bomb Beggar, Greed Mode Devil Room, Active items no longer charge up as normal from clearing rooms, Enemies taking damage now charges your item instead. Updated Sep 14, 2022. on enemy death, on room clear, on damage taken etc. Chapters Endings. You can also use this on other players, when they get the killing blow on a boss, you can . These only appear if not all runes have been unlocked yet. Time is the essence", "Sleeping gatekeepers will need to be awoken with a loud sound", UNLOCK: Unlock this card by beating Challenge #11 (Glass Cannon). ?, Satan and The Lamb as Tainted Magdalene, The first time you pick this trinket up, the heart container will be filled. Quality Monsters While aggressive, Blood Puppy deals 7.5 damage and drops half a red heart for every 10 enemies it kills. )[Check ingame], PC B8TK KNEP (Second floor Devil Room.) *, mustache, moustache, white, yellow, moms toenail, Increases the chance for Black hearts to spawn, UNLOCK: Unlock this item by beating the Dark Room with Eve, * , the lost item pool, grey, gray, makeup, Gives you a higher chance of eternal hearts, Contrary to popular belief, the Bible Tract doesn't allow Angel Rooms to appear after paying for a Devil Deal, * , the lost item pool, grey, gray, black, book, Allows you to unlock golden chests without needing a key, Cain starts with this trinket after donating 68 coins to the Greed Donation Machine, When you reach half a heart of life remaining, a black heart will spawn, After three black hearts have spawned, the trinket dissapears, * , the lost item pool, hand, brown, monkeys paw, monkey's paw, Imitates the behaviours of some of the other 'paper' items/trinkets, A Missing Page: When taking damage, Isaac has a chance to deal damage to the entire room in a Necronomicon style effect, Has a chance to trigger the Polaroid or Negative effect every time you take damage with half a red heart or less, Missing Poster: Dying in a sacrifice room while holding this trinket will reveal a puzzle piece on the death screen. After which, the only way to access an Angel Room is via the Sacrifice Room, * curse room pool, red chest pool, red chest item pool, golden chest pool, gold chest pool, devil pool, devil room pool, devil deal, brown, horns, When depleted, Black Hearts deal 40 damage to the entire room, in a Necronomicon style effect, * curse room pool, demon beggar pool, demon judgement pool, devil beggar pool, devil pool, black, white, gray, grey, guppys tail, guppy tail, Upon use, the IV Bag takes half a red heart and spawns 1-3 coins (the same effect as a blood donation machine), Can drop from a blood donation machine after playing it, In the Womb and beyond this deals 1 full heart of damage, If no red hearts exist, other types of hearts are consumed instead, With the Keeper this is changed to spawning 0-1 coins per use instead, Item Pool: None (Blood donation machine only), Places a decoy on the floor which attracts enemies and explodes after a period of time, When it explodes, it deals 185 damage to everything in radius (Same damage as Mr Mega bombs), * item room, treasure room, item room pool, worst friend, dead, baby, pink, puppet, Bombs no longer automatically explode and will only do so when you activate the remote detonator, Can be used to detonate Dr. Fetus bombs early, * boss rush pool, boss rush room, shop room pool, shop item pool, item room, treasure room, See the dedicated Devil room page for more details, Reveals the entire map and shows the icons for every room which has one, This is completely useless if you currently have both the Treasure Map and The Compass, Doubles your current red hearts up to full health, * , the lost item pool, playing, card, white, red, When used, turns all pickups, chests and non-boss enemies in the room into Bombs, UNLOCK: Unlock this item by getting a 3 win streak, When used, turns all pickups, chests and non-boss enemies in the room into Coins, UNLOCK: Unlock this item by defeating The Lamb in under 20 minutes, When used, turns all pickups, chests and non-boss enemies in the room into Keys, UNLOCK: Unlock this item by defeating The Lamb without taking hearts, coins and bombs, When used, turns all pickups, chests and non-boss enemies in the room into Hearts, UNLOCK: Unlock this item by defeating any floor after Basement I with only half a heart of health (works as The Lost), Teleports you to the Devil Deal Room on the current floor, When used, instantly kills you and spawns 10 pickup on the floor, Each of the 10 things spawned can be any type of consumable or sometimes a pedestal item (up to a maximum of 3 pedestal items), Any pedestal item created by Suicide King will be related to the room where it was used, meaning that using it in the Angel room will spawn Angel room items, UNLOCK: Unlock this card by beating Challenge #7 (Suicide King), UNLOCK: Unlock this card by defeating Mega Satan as Tainted Magdalene, A card which can be thrown as a projectile directly infront of Isaac, instantly killing anything it hits, including most bosses, If thrown at a multi-phase boss with multiple forms such Satan, Mega Satan or Hush it will only kill that particular phase of the boss, If thrown at a multi-phase boss that works from a single health bar such as Isaac, ??? Abel, UNLOCK: Unlock this trinket by defeating Isaac, ?? Blood Clot: All tears are larger, with increased damage (as opposed to every 2nd tear like Blood Clot alone). It also changes tears to a chargeable laser that pierces all objects in its path (including enemies, environmental hazards and walls). Items Effect persists between rooms while the time period is active, Speed Down - Reduces your speed stat by -0.12, Speed Up - Increases your speed stat by +0.15, Tears Down - Reduces your tears stat by -0.28, Tears Up - Increases your tears stat by 0.35, Telepills - Teleports you to a random room when used. REPENTANCE - White poop from Hallowed Ground is now more durable, similar to golden poop. The barrage of knives goes all the way across the screen and does not return. See previous icon for normal character effects, Tainted Isaac - Adds 4 more spaces for passive items, Tainted Maggy - Adds 1 extra real heart container that doesn't deplete, Tainted Cain - Doubles picks dropped when touching an item, Tainted Judas - Increases the range in which Dark Arts hits enemies and tears, Tainted ??? Releasing Dark Esau will cause him to charge directly at Jacob and deal damage to anything in his path. Tears have a 50% chance to be Blood Clot tears. yellow, white, triangle, The three heart containers are pre-filled with red hearts, UNLOCK: Unlock this item by beating the Chest with The Lost, * angel room pool, god room pool, angel room item, item room, treasure room, item room pool, real platinum god, the lost item pool, Enemy projectiles will now slowly curve away from Isaac and avoid hitting him, UNLOCK: Unlock this item by beating Dark Room with The Lost, * angel room pool, god room pool, angel room item, item room, treasure room, item room pool, Isaac takes a full heart if hurt by Blood Puppy and it drops a full red heart for every 10 enemies it kills. poop, pots, TNT, red poop, stone blocks, spikes, fireplaces etc. Monsters These stack with multiple secret rooms - The first one gives +1.00 Tears Up, then all future ones give +0.5. Flies spawned from a Mulligan dying, When used, the Mega Bean will freeze all enemies in the current room for a couple of seconds, deal 5 damage and poison any enemies in close proximity and send a wave of spikes across the room in the direction you are facing, The enemies in close range will take 5 damage then have a poison over time effect which deals your tear damage 4 or 6 times, The spike wave will deal 10 damage to any enemies in contact with it. - Spawns the last pill you used. Manage all your favorite fandoms in one place! spray, brown, white, yellow, moms purfume, Tears can now be charged and released in a shotgun style effect, much like Monstro's main attack, Partial charging does nothing - must be fully charged to use, * item room, treasure room, item room pool, pink, body part, monstros lung, On pickup Abaddon converts all your heart containers to black hearts, then gives you +2 more black hearts, Tears now have a chance to induce the fear effect, causing enemies to run away from Isaac for a short period, REPENTANCE - No longer kills Keeper when picked up, just reduces coin health to 1, UNLOCK: Unlock this item by beating the Chest with Azazel, * devil pool, devil room pool, devil deal, red devil sign, abandon, abadon, pentagram, Isaac leaves a trail of tar behind him which will slow down enemies that walk over it, Tears have a chance to slow enemies and their projectiles for a short period of time, The chance to slow enemies can improve based on your luck stat and will always slow enemies at +18 Luck, * item room, treasure room, item room pool, black, grey, gray, The Stop Watch applies a permanent but slight slowing effect to all enemies and their projectiles, The slowing effect has a reduced effect against Brimstone lasers fired by enemies, REPENTANCE - Stop Watch now slows down all enemies in the game once again, but the slow effect is much less drastic. 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Hallowed Ground is now more durable, similar to golden poop, on room clear, on room,...
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