Tainted Bethany starts with 3 soul hearts, 6 blood charges, and Lemegeton. Tainted Bethany's Lemegeton is stored in the pill/card slot, meaning it is used with the pill/card key, is not dropped when picking up other active items, and cannot be discarded through any means. Tainted Bethany is still able to hold one pill/card, in addition to the item.
Tainted Bethany is unable to utilize red hearts as health and cannot obtain red heart containers, similar to ???. When picked up, red hearts instead are converted to a resource unique to Tainted Bethany called "blood charges" at the rate of one charge per half heart. The number of blood charges currently owned is listed along with the pickup counters. Blood charges can be consumed to use Bethany's activated item when the item isn't fully charged, at the rate of one blood charge per empty bar of charge.
Any items held by Tainted Bethany that give positive modifiers and multipliers have only 75% of their effect. Negative modifiers and multipliers are not reduced.
Since she is able to generate items herself, skipping Treasure Rooms in favor of Planetariums is generally a more viable strategy for Tainted Bethany than other characters.
Since Lemegeton pulls from the current room's item pool, this means Tainted Bethany can get the ghosts of Planetarium items as well. These items tend to be very powerful, so this can be a powerful strategy.
Blended hearts will count as red hearts and only contribute towards the red heart charge meter.
Items created by Lemegeton don't count towards Transformations.
It is often a good strategy to horde red hearts until you get a an Angel Room or Devil Room, then use them all up inside that room to get as powerful as possible.
It's best to use the book multiple times in devil deal or angel deal, rather then save them for later, because the stronger your run, the higher chance you have of protecting your Lemegeton fires.
Cursed Rooms is also a good alternative if you can't get an Angel or Devil room, as the quality of the average item inside that pool is higher then the treasure room pool.
2 of Hearts + Blank Card: Allows for the creation of infinite blood charges as long as you have at least 13.
Car Battery This item uses Lemegeton twice upon use, spawning two passive wisps on use.
Maggy's Bow: This item doubles charges gained when picking up red hearts.
Satanic Bible: This item is particularly well-suited for Tainted Bethany. It not only provides a steady source of usable health, but it replaces all of the Boss Items with devil deals. Tainted Bethany can also convert red hearts into charges for extra uses of the Satanic Bible.
Charm of the Vampire: This item give blood charges every 15 enemies killed, allowing to exploit some enemies to maximise blood charges.
Eraser: Eraser can erase multiple different enemies with blood charges.
Converter: Grants blood charges upon use with no change to health, allowing for unlimited blood charges.
Obtaining Polydactyly as Tainted Bethany will still allow you to hold two consumables alongside the book. However, if acquired through Lemegeton wisps, it could end up in her losing the book completely if the wisp is dissipated, as picking up a consumable after losing Polydactyly could get rid of Lemegeton entirely.
This page was last edited on 22 April 2021, at 00:26.
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