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-Tears up and a permanent Pac-Man visual effect
-Tears up and drop two bomb pickups
-An item that causes a constant stream of fireworks to burst out of where an enemy died (no effect in gameplay, purely cosmetic)
-A Mr. Doll familiar that moves in diagonal directions and leaves behind brief high-damage creep
-When you take damage, gain Mom's Knife and tears up for the room
-An item that removes 6 heart containers but makes every enemy explode on death
-A pill that grants a random familiar for one room
-An active item that gives you a permanent Pretty Fly
-A 2-charge active item that spawns 10 blue flies
-Another 2-charge active item that spawns a random passive/active item(!!!)
Have fun :)