#262 ยท Passive Item

Missing Page 2

"Evil up. Your enemies will pay!"

  • Grants 1 black heart.
  • Activates effect upon taking damage if Isaac's total health (red hearts, soul hearts, and black hearts) is at one or fewer hearts afterwards.

Found in

  • Devil Beggar
  • Devil Room
  • Secret Room
  • Library (Greed Mode)

Video