Binding of Isaac: Rebirth Wiki
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(except in Rebirth)

The Scarred Womb is one of the environments in Chapter 4 added in Afterbirth. The theme of the Scarred Womb is wounded and scarred tissue, grafted skin, and early stages of decay. Most new enemies featured in The Scarred Womb are damaged and grievously injured variations of other enemies. and Rocks have a chance to be replaced with red poop.

The Scarred Womb's alternate floors are Error: The given stage ("The Womb") does not exist. and UteroUtero.

(in Afterbirth † and Repentance) The Scarred Womb is unlocked by defeating It Lives 30 times.

  • (in Repentance) Killing Dogma and The Beast also increase this tally.

Monsters

Entity ID Description

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Degraded Bosses

Bosses

Boss Blastocyst
Boss The Bloat
Boss Daddy Long Legs
Boss Mama Gurdy
Blastocyst The Bloat (except in Repentance) Daddy Long Legs (except in Repentance) Mama Gurdy
Boss Scolex
Boss Teratoma
Boss The Fallen
Boss Conquest
Scolex Teratoma (except in Repentance) The Fallen Template:DevilRoomRequired Conquest Needs to be unlocked
Boss Death
Boss Triachnid
Boss The Matriarch
Death Needs to be unlocked The Headless Horseman Needs to be unlocked Triachnid Needs to be unlocked The Matriarch (in Afterbirth † and Repentance) Needs to be unlocked
Boss Sisters Vis
Boss Lokii
Boss Mr. Fred
Sisters Vis (in Afterbirth † and Repentance) Needs to be unlocked Lokii (in Repentance) Mr. Fred (in Repentance)

Double Trouble

Double Trouble Bosses
Boss Gurdy
(Double Trouble)
Gurdy

Final Boss

It Lives will always appear in the second floor of this chapter or in the last boss room if the Curse of the Labyrinth is active.

Boss Mom's Heart
Boss It Lives
Mom's Heart (in Rebirth and Afterbirth) It Lives

Unlockable Achievements

  • Mama's Boy
    Mama's Boy - Beat Chapter 4 without taking damage.

Trivia

  • Before the proper release of Afterbirth, the Scarred Womb was to be named "Rotten Womb".
  • The stitches on the walls and floor faintly resemble the Fistula boss.
  • Using Collectible Flush! iconFlush! on the scarred womb will flood the room with red liquid (likely blood) instead of water.
  • (in Afterbirth † and Repentance) Previously, Mom's Heart could appear in the Scarred Womb. However, as of Booster Pack #5, since it is required to defeat It Lives 30 times to unlock the Scarred Womb, Mom's Heart can no longer appear in it.

Music

The music for the Scarred Womb is titled Cicatrix. A cicatrix is a medical term for a scar, as well as the Latin term for “scar”.

Binding of Isaac: Afterbirth OST


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