After picking up three distinct items from the following list, Isaac grows two tumor faces from his cheeks, which fire simultaneously and diagonally similar to the effect of
. Decreases Isaac's damage by 0.3 and slightly decreases Isaac's tears.
familiar that mirrors Isaac's movements and shoots in the opposite direction.
familiar that follows Isaac and automatically fires at enemies in its reach.
familiar that follows Isaac around and blocks enemy projectiles. Upon blocking a shot, it has a chance of triggering effect.
The Necronomicon 3
familiar that follows Isaac around and fires spectral tears.
orbital familiar that blocks enemy shots, deals 105 damage per second to enemies, and increases the speed of all orbital familiars.
familiar that charges a thin laser while Isaac is shooting.
familiar that follows Isaac around and fires tears with random effects.
Friends 'till the bbbbzzzt
familiar that shoots lasers.
We worked out all the kinks
familiar that fires lasers at any enemy in its line of sight and moves based on the direction Isaac is firing tears.
familiar that follows Isaac and blocks enemy shots. If a shot hits Farting Baby, it has a chance to fart, which charms, poisons, or knocks back nearby enemies.
Spawns a demonic
familiar that shoots tears identical to Isaac's in terms of damage, tears, and tear effects.
familiar that will follow Isaac's movements on a 2.5-second delay. Tears that pass through the baby will be doubled and increase in speed.
Spawns an angel
familiar which follows Isaac and fires homing tears which deal 10 damage and have 75% shot speed.
orbital familiar which does 105 damage per second and attracts and blocks enemy shots. Upon blocking 10 shots in a room, it drops an Eternal Heart.
Pills pills pills!
familiar that drops a random pill every 3 rooms. Upon using a pill, all enemies in the room are poisoned.
Buddy in a Box
What could it be?!
familiar with a random tear effect. The familiar is randomized at the start of each floor.
Hail to the king baby
familiar that follows Isaac and makes other familiars follow it. While firing tears, other familiars stop moving.
Notes [ ]
Gallery [ ]
Concept art for the Conjoined transformation and other Afterbirth transformations by Edmund McMillen.