The new Repentance+ DLC is coming out on November 18th! Read more about it here!
#270Leech"Blood sucker"Familiar
Spawns a familiar that follows Isaac and attacks nearby enemies, healing Isaac for half a red heart upon killing an enemy.

The familiar deals 1.5 damage per tick (3.21 per second).

Can spawn from destroying buckets in Downpour or Dross.
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