The new Repentance+ DLC is coming out on November 18th! Read more about it here!
Repentance PlusFettered HeartPickup
Requires a key to be picked up.

Adds one Soul Heart.

Spawns one Spiritual Reserves orbital ghost familiar.

Has a 5% chance to replace any Soul Heart, but not on the first floor.
Unlock: Unlock Tainted Forgotten.
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