Consumes one of Isaac's heart containers or two of Isaac's soul hearts to spawn an item from the current room's item pool and give Isaac a broken heart container which can never be filled, permanently reducing his maximum possible health.
The Lost will lose this item upon using it, making it effectively a single-use item for him.
The item is a reference to the book by Honoré de Balzac called La Peau de chagrin. In the story, the main character finds a special talisman that grants wishes, but each wish weakens him and causes the talisman to become smaller, as well as his lifetime.
This also may be a reference to the goatskin Jacob uses to trick his father Isaac into thinking he was Esau, thus giving him his blessing along with the divine right God had promised Abraham (Isaac's father), which included inheriting the promised land and having his bloodline bring forth the Messiah.
This page was last edited on 15 April 2021, at 00:06.
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