If used without any red heart containers, no health will be deducted, but red hearts will still spawn. This fills Isaac's first red heart container (even if Isaac's red health is less than 1) and empties the rest, including Bone Hearts. Sets Isaac's red heart health to 1, then spawns 1-4 Red Hearts. Can be used with Placebo or D1 to generate infinite batteries. Using a Telepills in the mirrored version of Downpour/ Dross II has a chance to teleport Isaac to an Ultra Secret Room.ĭrops one to two Lil' Batteries and fully charges the spacebar item. Has a small chance to teleport Isaac to the I AM ERROR room, and an extremely small chance to teleport him to the Black Market, like Undefined. These Big Fans do not contribute towards the Beelzebub transformation. Grants a fly orbital, up to 3 maximum, that circles the player, blocking projectiles and damaging fly-type enemies on touch. Isaac gains very fluffy hair covering his entire head and even face. This pill is cosmetic only and will stay for the rest of the run.Ĭonsuming three puberty pills will grant the Adult transformation, granting one red heart container and making Isaac's voice slightly deeper (one time effect). Isaac's face gets a permanent, very exaggerated expression resembling a horse.Ĭauses Isaac to grow four hairs from the top of his head and zits on his face. This pill is cosmetic only, and the effect disappears when Isaac leaves the room. if Isaac has 0 or 1 heart containers, the pill becomes Health Up and if he has 2 with no other types of health, they are removed and he is given half a soul heart.Ĭhanges the appearance of Isaac's face. Characters who cannot have red heart containers will lose one heart. Acts as a Health Up pill if Isaac has one or fewer red heart containers. Spawns more bombs with the effects of Mr. Spawns a lit bomb behind Isaac every second for five seconds. The number of bombs and keys is increased by 50% while swapping. The effects of Golden Bombs and Golden Keys are also swapped. Swaps the values of Isaac's Bombs and Keys. If Isaac would not survive, the pill becomes Full Health. This doesn't count as damage for the purposes of Devil Room/ Angel Room generation odds or score reduction.ĭeals two hearts of damage. Using a Bad Trip pill while Isaac only has a single heart left or less turns it into a Full Health pill. The poison affects all enemies in the room.ĭeals a full heart of damage to Isaac. Isaac farts, dealing 5 damage and poisoning enemies around him.
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