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#672A Pound of Flesh"Blood money"Passive item
Items that require health to purchase now require money instead, and vice-versa.

Consumables in Shops no longer have a cost, but are instead surrounded by spikes that deal a full heart of damage. The pickups inside the spikes cannot be pushed by an explosion.

Buying Shop items for health does not prevent Angel Rooms from appearing.

Immunity from spikes does not prevent damage from the special spikes inside Shops. Invincibility frames or invulnerability from certain items will disallow Isaac from taking the pickups.
Unlock: Defeat The Beast as Cain.
- Tags -- Links - - Costume -

▾ITEMS ()▾

D infinity Dogma Jar of Wisps Flip Everything Jar

▾TRINKETS ()▾


▾PICKUPS ()▾

Heart Heart (half) Heart (soul) Heart (eternal) Heart (double) Black Heart Gold Heart Heart (half soul) Scared Heart Blended Heart Bone Heart Rotten Heart Penny Nickel Dime Double Penny Lucky Penny Sticky Nickel Golden Penny Key Golden Key Key Ring Charged Key Golden Bomb Golden Troll Bomb Giga Bomb Mega Chest Mom's Chest Mega Battery Golden Battery

▾CONSUMABLES ()▾

Hagalaz Jera Ehwaz Dagaz Ansuz Perthro Berkano Algiz Golden Pill Golden Horse Pill


▾MACHINES/BEGGARS ()▾

Slot Machine Blood Donation Machine Fortune Telling Machine Beggar Devil Beggar Shell Game Key Master Donation Machine Bomb Bum Shop Restock Machine Greed Donation Machine Mom's Dressing Table Battery Bum Hell Game Crane Game Confessional Rotten Beggar

▾CHARACTERS ()▾

Magdalene Samson Azazel Lilith Bethany Tainted Magdalene Tainted Eve Tainted Lazarus Tainted Lilith Tainted Bethany

▾TRANSFORMATIONS ()▾

Fun Guy Conjoined Leviathan

▾CURSES ()▾




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Added in DLC
Unlockable Grants costume Has YouTube video Animated icon