The new Repentance+ DLC is coming out on November 18th! Read more about it here!
#6.15Hell GameHell GameMachine/Beggar
Costs half a heart to play. Prioritizes red hearts first.

Starting from Chapter 4, costs a full heart to play.

Not having enough HP to play can kill Isaac.

When given a heart, the beggar will lift one of the skulls up, revealing a Black Heart, Blue Spider, bomb, item, key, coin, or card. He will then shuffle the skulls around and wait for Isaac to bump into one of them, which will result in a payout.

The skull Isaac bumps into is not relevant.

Leaving the room before bumping into a skull will reset the prize.

If a Devil Deal has been taken during the run, there is a 25% chance that a Shell Game will be replaced with a Hell Game.

Possible payouts
• 2 of the previously shown pickups, 1 if it was a Black Heart or a card, or 2-3 if they were coins.
• Enemy Spider.

Final payout
• Random item from the Devil Room item pool.

When destroyed
• Spawns 2 Enemy Spiders.
Unlock: Defeat Mega Satan as Tainted Azazel.
- Synergies - - Links -

▾ITEMS ()▾


▾TRINKETS ()▾


▾PICKUPS ()▾


▾CONSUMABLES ()▾


▾MACHINES/BEGGARS ()▾


▾CHARACTERS ()▾


▾TRANSFORMATIONS ()▾


▾CURSES ()▾




Search filters
Item type
Item quality Item pools (any)
Item tags (any)
Transformations (any)
Stat changes (any)
Added in DLC
Unlockable Grants costume Has YouTube video Animated icon Favorite (?)