![]() ![]() Cursed Skull will automatically teleport ? out of the room upon taking any damage, as he doesn't have any Red Hearts.Blood Donation Machines and Devil Beggars are riskier, as they deplete health that is harder to replenish.However Eternal Hearts still act as an extra half a heart and become a full soul heart at the end of the floor making Prayer Card viable. Items that directly add Red Hearts to the health bar, such as Yum Heart, Yuck Heart or full health pills, are useless.IBS spawns different kinds of poop, all of which spawn blue flies when ? destroys them. ![]() Fortune Cookie can give a soul heart upon use.This can be exploited with Converter to generate unlimited HP.Birthright will double the effectiveness of HP upgrades, meaning ? gains twice as many soul hearts as normal.Dolly increase ?'s tears and can grant Soul Hearts. Serpent's Kiss now only produces Black Hearts from contact damage poison, making it slightly less useful for ?.Serpent's Kiss can produce Black Hearts by poisoning enemies.Using Satanic Bible now also causes boss items to turn into devil deals that cost hearts, so it may be best to hold off on using it until after the boss fight.The Relic, which is generally useful, is especially useful to ? as it spawns Soul Hearts.The Polaroid and The Negative will always activate when taking damage.Petrified Poop is useful early on to get more pickups from The Poop every room.Monkey Paw will drop 3 Black Hearts, but must take damage for each one to spawn.Midas' Touch makes The Poop create Golden Poop.Maw of the Void can produce Black Hearts.The same effect happens with the use of Judas' Shadow. Once this happens, however, you are no longer playing as ?, and therefore cannot get any of his achievements/unlocks. Lazarus' Rags causes ? to be resurrected as Lazarus Risen when he dies, allowing the gathering of heart containers.Hallowed Ground turns all The Poop uses into holy poops. ![]() Gimpy has a chance to spawn Soul Hearts when hit.Dim Bulb is able to be activated every room due to the single charge on The Poop, providing a consistent stat boost.Dead Cat will set Soul Hearts to 1, but can be used to gain devil deals by sacrificing the extra lives.Dark Bum can now also drop pills, cards, and runes, which can include V - The Hierophant, Balls of Steel, or Rune of Dagaz.Dark Bum converts useless Red Hearts into Black Hearts and Spiders.Mitre and Daemon's Tail replace useless Red Hearts with Soul and Black Hearts respectively.Crown of Light will always activate when entering a room, but still deactivates after taking damage.Like Abaddon, this item is always safe to take. Ceremonial Robes costs three two Soul Hearts and grants three Black Hearts and damage up.Book of Revelations Spawns soul hearts.The XI - Strength card gives ? a permanent soul heart.The Rune of Dagaz grants one soul heart as well as lifting any curses.Balls of Steel pills or V - The Hierophant grant two soul hearts, both of which are more useful than normal HP up items. ![]()
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