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Twisted Pair item
Twisted Pair is an unlockable familiar in The Binding of Isaac, added in the Repentance DLC.
Description
Spawns 2 familiars that float by the left and right side of Isaac, and fire tears alongside him that copy his stats and tear effects.
Each familiar deals 37.5% of Isaac's damage. When playing as 
Lilith or 
Tainted Lilith, they instead deal 50% damage each.
Note
This page shows the latest information as of the new Repentance+ (Online Co-op) DLC.
To see information about this item for the previous Repentance version, check this page instead.
How to unlock?
Defeat The Beast as Tainted Lilith.
Transformations
Conjoined transformation. Collecting 3 items from this set will make Isaac shoot in 3 directions at the cost of -0.3 damage and -0.3 tears.
Item pools
Twisted Pair can be found in the following item pools:
| Name | Weight |
|---|---|
| Devil Room |
1.0/1.0
|
| Greed Devil Room |
1.0/1.0
|
| Baby Shop |
1.0/1.0
|
Tags
The following tags are applied to this item:
| Id | Description |
|---|---|
| summonable | Can be summoned via  Lemegeton. |
| baby | Contributes towards the Conjoined transformation. |
| monstermanual | Can be summoned via  Monster Manual. |
| offensive | Can appear for  Tainted Lost. |
Special synergies
The following special synergies and interactions for Twisted Pair have been documented.
* Note that not all possible synergies and interactions are listed here.
YouTube video
External links
- Check out the item description on the external Isaac Wiki.
Bloody Gust 
Salvation 
Vanishing Twin 
Azazel's Rage 
Echo Chamber 
Isaac's Tomb