A list of items with a dark, occultish theme that count towards the Leviathan transformation.
Collecting three or more triggers it, granting Isaac flight and two black hearts.
Notably, all of them are part of the Devil Room item pool. Their icons also use predominantly - often even exclusively - black and red colors.
Pages in category "Leviathan items"
The following 11 pages are in this category, out of 11 total.