Consumes one heart container or two Soul Hearts to spawn an item and give Isaac a broken heart container that can never be filled. If Magic Skin isn't being held after being used, it is very likely to replace any future items.
Spawns a familiar that chases enemies. After killing enough enemies, it becomes more powerful but will also try to hurt Isaac. Attacking it returns it to normal.
The Following items have special weights in this Item pool:
Plan C and Red Key have a weight of 0.1 in the Red Chest pool, making them 90% less likely to appear.
Blood Puppy has a weight of 0.5 in the Red Chest Pool, making it 50% less likely to appear.