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...there should be a mod that does that
if you have this item, and a bone heart, the game wont' register
-Devil/angel chances on red heart damage
-Any damage at all with respect to achievements/items. This is the big one, you can still die and still take damage, but items like perfection will spawn as long as you dont lose the bone hearts. You can get hit a ton and perfection will still spawn, and will be preserved by the item. The real issue is this extends to achievements, you can unlock "no hit" achievements just by having this item and completing a floor, whether you get hit or not. I really like the item, but for those who don't want easy runs or their achievements tampered with, it might be best avoided.