![]() Using saved up hearts to complete the active item's charge will occasionally not use any hearts. ![]() No special effect as of now, "mimics" a random item instead. ![]() Getting hit will occasionally spawn additional Dead Birds that persist between rooms. HP ups give 2 soul hearts instead of one. Using books deals damage to all enemies in the room in addition to their normal effect, similar to a black heart or the Necronomicon effect. Grants a golden key on each floor, essentially giving Cain infinite keys. Extra choices in Devil Rooms and shops are free. ![]() You can only take 1 of each pair, but it affects all item sources.
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