Death Certificate

Death Certificate is an activated item added in The Binding of Isaac: Repentance.

Effects

 * Takes Isaac to an abandoned and expanded version of, which has one copy of almost every item in the game. After taking an item, Isaac returns to the room he used Death Certificate in.
 * There are also several pickups and chests in the area. Picking them up/opening them will not cause Isaac to leave the area.
 * If a chest in the area contains an item, picking it up will cause Isaac to leave the area.

Interactions

 * Using the Red Key in this area has a chance of spawning special rooms from Home. If Mom's bedroom is spawned and Isaac sleeps in the bed, the cutscene usually preceding the Dogma fight will play, but nothing will change.
 * Can invoke the effect of Death Certificate as normal.
 * The area will contain significantly fewer rooms and items to choose from, as Sacred Orb prevents items with low quality from appearing.

Synergies

 * Has no use inside of the Home area, as Isaac can only take 1 item. However, it can be used to duplicate the Death Certificate item, allowing Isaac to enter the area twice.
 * Allows Isaac to hold another Activated item into the area along with Death Certificate.
 * //Black Rune: Allows the consumption of items without forcing Isaac to leave the area.
 * Allows an additional 10 items to be taken without forcing Isaac to leave the area.
 * Mimics the effect of Death Certificate without consuming it.
 * Will use Death Certificate if it was the item/card Isaac most recently used.
 * Converts items into pickups without being kicked out. Picking up story-related items(e.g., , etc.) is the only method of exit.
 * + : If timed correctly, switching from The Soul to The Forgotten can cancel the teleport out of the area, allowing for multiple items to be picked up. This can be done even if Birthright is not acquired before Death Certificate, as there is enough time to exit the room with The Soul and switch to The Forgotten after picking up Birthright.

Seeds
9HPQ QQ4D (First Floor Secret Room, up and left to spawn) 9JVW J4C8 (Starting item from Eden)