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Toothpicks is a passive item.

Effects[edit | edit source]

Interactions[edit | edit source]

Added in Repentance15►Spindown Dice Spindown Dice: Turns into 15►Sacred Heart Sacred Heart when rerolled by Spindown Dice.

In-game Footage[edit | edit source]

Seeds[edit | edit source]

PC GR9M Z8TY (First floor Boss Room)

PC Added in Afterbirth † Greed mode only VL6B WR3V (First Silver Treasure Room)

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