Devil Beggars will pay out with one of these items after being given enough hearts.
Adds 3 Black Hearts and increases damage by 1.
Contract From Below
Wealth... but at what cost?
Doubles the number of pickups and chests spawned after clearing a room or performing some other triggering action (such as using a Blood Donation Machine), but reduces the chance for any pickups to spawn at all.
All stats up, then shuffled
Randomly increases and decreases some of the character's stats.
Has a chance of spawning a Soul Heart or Black Heart when taking damage. Enemies have a chance to drop a Half Red Heart after being killed.
Speed + DMG up
Increases damage by 1 and speed by 0.4.
Missing Page 2
Evil up. Your enemies will pay!
Gives 1 black heart. Upon taking damage that reduces Isaac's health to one heart or less, activates The Necronomicon effect, dealing 40 damage to all enemies in the room.
Mom's Coin Purse
What's all this...?
Spawns 4 random pills around Isaac.
Speed and range up
Increases speed by 0.6, range by 5.25, and tear height by 0.5.
Speed + shot speed up
Increases speed by 0.3 and shot speed by 20%.
Inflicts poison to enemies who make contact with Isaac. Speed down. Poisoned enemies have a chance to drop a black heart when killed.
Speed up + size down
Increases speed and reduces character size. Also gives a random pill.
Follows Isaac and automatically fires at enemies in its reach.
Spawns a flying familiar that bounces around the room with a black aura, dealing rapid damage to any enemies inside it. While standing in the aura, Isaac gains a 1.5x tear damage multiplier.
DMG up + range
Increases damage by 1, range by 5.25, and tear height by 0.5.
Pills pills pills!
Spawns a familiar that drops random pills every 3 rooms cleared. Upon using a pill, all enemies in the room are poisoned.
Adds a chance to fire needles that instantly kill basic enemies and deal triple damage to bosses. If a needle kills an enemy, it bursts into more tears/needles.
Adds a chance to fire a piercing tear that instantly kills any enemy that it touches.