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Font TeamMeat A.pngFont TeamMeat n.pngFont TeamMeat e.pngFont TeamMeat m.pngFont TeamMeat i.pngFont TeamMeat c.png
Removed in Afterbirth †Item icon
Added in Afterbirth †Item icon
Item altar
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Character appearance
Table dividing line 2.png
Treasure Room Treasure Room
Greed mode only Treasure Room Treasure Room
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Added in Afterbirth(page 2, column 11, row 5)
Removed in Afterbirth(page 3, column 1, row 2)

Anemic is a passive item.

Effects[edit | edit source]

  • Upon taking damage, Isaac leaves a trail of red creep that damages enemies until he leaves the room.
  • +5 range.

Notes[edit | edit source]

  • The effects of this item do not stack if multiple copies of the item or its effects are acquired; Isaac only gets the range bonus once.
  • Lazarus, or anyone holding Lazarus' Rags Lazarus' RagsCollectible Lazarus' Rags icon.pngUpon dying, resurrect as Revived Lazarus with one heart container and Anemic item., is resurrected with this item upon his first death.
    • Added in Afterbirth † After Challenge 31: Backasswards is beaten, Lazarus will start with Anemic, and Lazarus Risen will have its +5 range and creep trail effect permanently active, regardless of whether he possesses the item.

Interactions[edit | edit source]

  • Added in Afterbirth †Lost Cork Lost CorkTrinket Lost Cork icon.pngIncreases the radius of any creep produced by Isaac.: Increases creep trail size.

In-game Footage[edit | edit source]

Trivia[edit | edit source]

  • Anemia is a decrease in the blood's ability to carry oxygen. This can either be caused by a decrease in hemoglobin in blood cells, or red blood cells altogether.

Seeds[edit | edit source]

 PC  R8WH 6H6K (Treasure room adjacent to spawn)

 PC  KSV0 MEY2 (Treasure room adjacent to spawn)

 PC  TNGG 06RD (Treasure room adjacent to spawn)

 PS4  JQM7 4X1D (Treasure room adjacent to spawn)

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