Leech

Leech is a passive item.

Effect

 * Spawns a crawling Leech familiar that follows Isaac. If an enemy comes near, the Leech will attack and chase it, doing 1.5 damage per tick or about 3.2 damage per second. If an enemy is killed by the Leech, Isaac will be healed by a Half Red Heart.

Synergies

 * Arcade rooms: The player can let the Leech eat Flies from the Shell Game and use the resulting health to gamble on the Blood Bank.
 * : Leech grows bigger and does double damage. Still only heals for a Half Red Heart.
 * Enemies can be turned into poop at the cost of a Half Red Heart, then consumed by the leech to regain health. Utilization of temporary immunity when hit can allow multiple enemies to be turned into poop, resulting in a net gain of health.
 * The leech still can attack the enemies turned into poop and gain health.
 * The player can stand still and allow the Leech to clear a room, granting simple clears and easy health.


 * Due to the fact that Tainted Bethany’s gains charges with red hearts, leech can charge it up by killing enemies.

Interactions

 * : No effect on healing.

Trivia

 * This familiar is notorious for having bad tracking AI.

Seeds
M4X7 V0TK (Treasure Room adjacent to spawn) 3SWF QKD4 (Treasure Room to the right of spawn) RZ0C 67HL (Treasure Room adjacent to spawn) HJYC Y177 (Treasure Room adjacent to spawn) XRCS NZCN (Treasure Room adjacent to spawn) G4YR 243A (Treasure room adjacent to spawn) L1Y9 Y1KN (Treasure room adjacent to spawn) 2KAD 2W2B (Treasure room adjacent to spawn) YG41 04ZN (Treasure room adjacent to spawn)