Little C.H.A.D. - The Binding of Isaac

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Little C.H.A.D. is an unlockable familiar in The Binding of Isaac.

Spawns a familiar that follows Isaac and drops a Half Red Heart every 3 rooms.

The first drop happens after 2 rooms.

Can drop when defeating C.H.A.D.

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.

Defeat C.H.A.D.

Little C.H.A.D. can be found in the following item pools:

Name	Weight
Treasure Room	1.0/1.0
Greed Treasure Room	1.0/1.0
Ultra Secret Room	1.0/1.0
Baby Shop	1.0/1.0

The following tags are applied to this item:

Id	Description
nolostbr	Unavailable for The Lost after obtaining Birthright.
summonable	Can be summoned via Lemegeton.
nocantrip	Not available as card effects during the Cantripped! challenge.

The following special synergies and interactions for Little C.H.A.D. have been documented.

Mod	Item	Synergy
---	BFFS!	The familiar drops hearts in a repeating pattern of 2, 2, then 3 rooms.

* Note that not all possible synergies and interactions are listed here.

Below is the Internal Item Description as shown in-game.
Note that some stat changes are not displayed here. Please see the main description for the full effects.

Little C.H.A.D.

• Familiar that drops a half red heart every 3 rooms
• Abyss: x1 locust 1x Isaac's damage