The transformation will be lost if the items required are rerolled or otherwise lost, eg.Rerolling items with a dice room, the D4, or the D100 will not remove progress towards the transformation.Guppy's Head) can be picked up once and then swapped away with another without any loss to transformation progress. Only the first instance of an item Isaac owns will count. Duplicate items (like those acquired from Diplopia) do not count toward transformations when picked up.Items only need to have been acquired once in order to count.This bum collects any of the other beggars' pickups, and offers twice the rewards. Replaces Bum Friend, Dark Bum, and Key Bum with Super Bum. Isaac can break obstacles by walking over them. Taking damage has a chance to spawn rock waves. Spawns a spider familiar that applies random status effects to enemies it comes in contact with. Roughly 25% of the time, Isaac shoots an extra tear, like 20/20. Whenever a pile of poop is destroyed, restores half of a red heart. It synergizes like Mom's Knife would.Īdds two tumors that fire diagonally from Isaac's head.
Isaac gains a stationary knife that trails directly behind him. Gives +2 damage and +0.15 speed, and spawns a random pill upon transformation. Isaac leaves a trail of green poisonous creep as he walks that deals 6 damage per second. Larger flies become friendly and follow Isaac between rooms. Converts small enemy flies into Blue Flies. Grants flight and adds a 50% chance to spawn a Blue Fly when a tear hits an enemy. Grants flight and spawns a Blue Fly each time a tear hits an enemy.
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