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Mastema
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Mastema's Cake trinket
Mastema's Cake is a trinket in Mastema, a mod for The Binding of Isaac.
Description
This item requires the Birthcake mod in order to appear naturally.
Only has an effect when playing as 
Mastema.
An extra pickup surrounded by spikes spawns in shops, treasure, devil, and angel rooms.
Special synergies
The following special synergies and interactions for Mastema's Cake have been documented.
| Mod | Item | Synergy |
|---|---|---|
| --- | Trinket multipliers | Spawns an additional extra pickup behind spikes. |
* Note that not all possible synergies and interactions are listed here.
External links
- Download Mastema from the Steam Workshop.
Satanic Charm 
Purist's Heart 
Spirit's Heart 
Tainted Mastema's Cake