There is a new "rumble" option in the options menu. However, it only appears on the Nintendo Switch version of the game, which was currently unreleased at the time.
The bug where the rewards for the Onan's Streak and The Guardian challenges were incorrectly swapped was fixed.
The Small Rock now updates the "speed" and "firedelay" caches, meaning it no longer is a delayed tears up and a delayed speed down.
All of the bugged DecreaseBy values for the Afterbirth+ items have been fixed, meaning that Afterbirth+ items will no longer roll into themselves in pools where they are supposed to be removed on sight.
Fixed the graphics for the Ed Baby and the D Baby (2 of the co-op babies).
The entity stacking feature is fixed. This results in many changes throughout the game, like getting restock boxes in shops.
Fixed the bug where Magdalene would be shown as having a pill on the character select screen before beating the Aprils Fool challenge.
Fixed the bug where Samson would be shown as having Child's Heart on the character select screen before beating the Ultra Hard challenge.
Fixed the bug where Lazarus would be shown as having Anemic on the character select screen before beating the Backasswards challenge.
New bugs[]
Accidentally added a bug to the description of Monstro's Tooth (it will no longer appear in-game).
Adrenaline now counts towards the Spun transformation.
