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Item icon
Item altar
"Better pills"
Table dividing line 1.png
Item ID
Character Appearance
Character appearance
Table dividing line 2.png
Table dividing line 3.png
Collection Grid
Removed in Afterbirth(page 1, column 2, row 8)
Added in Afterbirth(page 1, column 12, row 4)

PHD is a passive item.

Effects[edit | edit source]

  • Identifies all pills upon pickup.
  • Converts some "bad" pills into their "good" counterparts:
    • All "stat down" pills into "stat up" pills
    • Bad Trip into Balls of Steel
    • Amnesia into I Can See Forever
    • Added in Afterbirth † ??? into Telepills
    • Added in Afterbirth † Addicted into Percs!
    • Added in Afterbirth † I'm Excited!!! into I'm Drowsy...
    • Added in Afterbirth † Paralysis into Pheromones
    • Added in Afterbirth † Retro Vision into I can see forever!
    • Added in Afterbirth † R U A Wizard? into Power Pill!
    • Added in Afterbirth † X-Lax into Something's wrong...
  • Spawns a pill.
  • Replenishes 2 red hearts.
  • Adds 0-2 coins to the payout every time you use a Blood Donation Machine or 15►IV Bag IV Bag.
    • In hard mode, adds exactly 1 coin to the payout.

Notes[edit | edit source]

  • The following pill types are neutral and do not have a "good" equivalent, or are otherwise left unchanged by PHD.
    • Added in Afterbirth ???
      • Added in Afterbirth † Converted to Telepills
    • Explosive Diarrhea
    • Hematemesis
    • I Found Pills
    • Added in Afterbirth Infested!
    • Added in Afterbirth Infested?
    • Added in Afterbirth One makes you small
    • Added in Afterbirth One makes you larger
    • Paralysis
      • Added in Afterbirth † Converted to Pheromones
    • Pheromones
    • Added in Afterbirth Power Pill!
    • Pretty Fly
    • Puberty
    • R U A Wizard?
      • Added in Afterbirth † Converted to Power Pill!
    • Added in Afterbirth Re-Lax
    • Telepills
  • Bad pills already obtained/dropped will be converted to their "good" counterparts.
  • If PHD is rerolled by the 15►D4 D4 or a Dice Room, pills will be identified on pickup, but negative pills will not be prevented from spawning.
  • Added in Afterbirth † Performing a RERUN with a character that held PHD will still prevent negative pills from spawning, but will no longer identify pills until used.
  • As bad pills will turn into good pills, it is possible for two different colored pills to have the same effect.

Interactions[edit | edit source]

  • Added in Repentance15►False PHD False PHD: Pills can both be good or bad again. Taking a bad pill still applies the benefits from False PHD.

In-game Footage[edit | edit source]

Seeds[edit | edit source]

PC 49BH 7C4X (Treasure Room adjacent to spawn).

Vita F1MK 02T4 (Treasure Room adjacent to spawn).

Switch 1RY7 20CH (First floor Shop, half off)

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