Blood Puppy

"What a cute little thing!"

Item ID
5.100.565


Collection Grid
(page 5, column 1, row 5)

Blood Puppy is a passive item added in The Binding of Isaac: Repentance.
Effects[edit | edit source]
- Spawns a chasing familiar that deals contact damage to enemies.
- After killing enough enemies, it transforms into an angry version that spawns in the middle of the room and gains a dash attack but will also attempt to hurt Isaac.
- After killing even more enemies, the angry version evolves again, the dash attack dealing more damage and being capable of destroying rocks.
- Dealing 150 damage to the first angry puppy will return it to normal. (Only player-inflicted damage counts)
- Dealing 450 damage to the evolved angry puppy will return it to normal. (Only player-inflicted damage counts)
- It will also occasionally drop Red Hearts.
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