True Options is a passive item in TBOI Ascension, a mod for The Binding of Isaac.

Does not appear in any item pools.

Can only be obtainted by using Smelter on More Options, There's Options and Options?

While held Treasure & Boss Rooms: Spawns 3 items; choosing one destroys the rest.

Angel & Devil Deals: Every individual item offer becomes a choice between 2 options.

On Room Clear:
Spawns a choice between random rune, soulstone, bomb, coin, key

• Download TBOI Ascension from the Steam Workshop.