soul hearts is under one and a half hearts, the necronomicon effect will him to fly and leaving the decapitated body to run around attacking consumables such as keys and bombs. Higher chance to get more consumable drops from chests.judgement pool, boss room pool, boss room item, brown, orange, cardboard Bombs no longer automatically explode and will only do so when you activate the remote detonator.
* golden chest pool, gold chest pool, item room, treasure room, item room pool, green, ball, * item room, treasure room, item room pool, worst friend, dead, baby, pink * key master pool, key beggar pool, key judgement pool, item room, treasure room, item room pool, - Tears will shoot diagonally for about 60 seconds. Gives you a very high tear rate in exchange for a big range down.* item room, treasure room, item room pool, golden chest pool, gold chest pool, cat, dead, brown, pink* item room, treasure room, item room pool, broken, mirror, cracked, grey, gray, silver XL floors, however, are not affected by this and will spawn normal bosses. One of the twelve zodiac items available in the game.A familar that is attached to Isaac, which will seek out and damage any enemies close by for 3 contact damage.* item room, treasure room, item room pool, mystery liquid, grey, gray, green