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Kicks and Giggles
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Shuko's Scalpel trinket
Shuko's Scalpel is an unlockable trinket in Kicks and Giggles, a mod for The Binding of Isaac.
Description
x1.1 Damage Multiplier.
Grants a 3% chance for enemies to drop a random heart when killed.
If held by 
Tainted Shuko, enables her to use her scalpel melee attack.
This trinket cannot be smelted or gulped.
How to unlock?
Defeat Mega Satan on Hard Mode while holding Lil Sis's Memorial Photo.
External links
- Download Kicks and Giggles from the Steam Workshop.
R Key Plush 
Torn Cherub Wing 
Wynne's Earrings 
Piezoelectric Igniter 
Lil Sis's Memorial Photo 
Blank Soul