If a non- Red Chest spawns hearts, coins, Bombs and/or Keys, causes the chest to spawn a second group of said pickups, effectively doubling the average pickup yield.
This item belongs to the Yes Mother? set. Collecting three items from this set will transform Isaac into his mother.
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Mom's Key cannot change the contents of a chest; it will only cause it to spawn extra pickups.
All other chest rewards (such as pills, cards, items, etc.) will not cause the chest to spawn additional pickups.