#81 · Passive Item
- Sets Isaac's red heart containers to 1.
- Does not remove Soul Hearts or Black Hearts unless playing as ???.
- Grants 9 extra lives.
- Upon death, Isaac respawns with 1 red heart container.
- The head of Guppy begins following Isaac like a familiar upon pickup, but doesn't actually do anything.
- When Isaac has lost all of the lives provided by this item, the dead cat familiar will disappear.
- This item belongs to the Guppy (Transformation) set. Collecting three items from this set will transform Isaac into Guppy.
- Curse Room
- Devil Room
- Red Chest
- Curse Room (Greed Mode)
- Devil Room (Greed Mode)