Death Scythe

Death Scythes are enemies spawned by Death that either stay stationary for a few seconds before accelerating toward Isaac or immediately home in on him. They have 50 HP in total but spawn with only 15 HP. They deal 1 full heart of damage. If Death is killed, any Death Scythes he summoned are immediately destroyed.

Ultra Death Scythe
Ultra Death Scythes are enemies spawned by Ultra Death, they are larger than regular Death Scythes and travel in one direction towards Ultra Death's position a brief moment after spawning- continuing until they travel off-screen or are killed. Unlike regular Death Scythes they only deal half a heart of damage.

When spawned in manually they remain stationary and only deal contact damage if walked into.