#5.100.565 ยท Passive Item

Blood Puppy

"What a cute little thing!"

  • Spawns a chasing familiar that deals contact damage to enemies.
  • After killing enough enemies, it transforms into an angry version that gains a dash attack but will attempt to hurt Isaac.
  • Damaging the aggressive Blood Puppy will eventually return it to normal.
  • It will also occasionally drop Red Hearts.

Found in

  • Curse Room
  • Red Chest
  • Treasure Room