Little C.H.A.D. is an unlockable passive item.


  • Spawns a familiar who drops a half red heart every three rooms.
    • The first drop happens after two rooms.


  • Dlc r indicator.png Trinket Apple of Sodom icon.png Apple of Sodom: Each half red heart has a chance to transform into 1-3 blue spiders when picked up, allowing the player to receive a form of increased offense.
  • Collectible BFFS! icon.png BFFS!: The familiar drops hearts in a repeating pattern of 2, 2 then 3 rooms.
  • Collectible Dark Bum icon.png Dark Bum: Each half red heart dropped by Little C.H.A.D. can be collected by Dark Bum, allowing the player to receive Dlc nr indicator.png full soul hearts and black hearts/ Dlc r indicator.png black hearts, pills, cards and/or runes instead of half red hearts.


In-game Footage


  • This item is a reference to the C.H.A.D. boss from Super Meat Boy, where after defeating C.H.A.D. he becomes very small and in the following cutscene will keep trying to get kisses from Meat Boy.
  • Little C.H.A.D. will blow a kiss to the camera every time a room is cleared, even if no half red heart is created.


PC L3GH AZDJ (Treasure room adjacent to spawn)

PC RHHB HH4V (Treasure room adjacent to spawn)

PS4 V9HN YR1C (Treasure room adjacent to spawn)

Vita AAJT QBWM (Treasure room adjacent to spawn)

3DS 8TS7 3BVE (First floor treasure room; Curse of the Unknown)

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