Hard mode

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Hard mode changes the gameplay compared to Normal in some ways to make it more difficult. When playing in hard mode, a small red pentagram (Hard Mode only) appears on the HUD, below the consumables.

  • Rooms contain more advanced enemies and in a higher number.
  • Causes champions to spawn more often; however, they award fewer pickups.
  • You are less likely to receive hearts after completing a room.
  • Only champion bosses can drop red hearts; normal bosses will not.
  • You are more likely to be cursed on each floor.
  • You are more likely to receive a harder version of a floor (e.g. Necropolis or Added in Afterbirth Dank Depths instead of The Depths).

Unlocks for Hard Mode[edit | edit source]

Isaac Magdalene Cain Judas ??? Eve Samson Azazel Lazarus Eden The Lost Added in AfterbirthLilith Added in AfterbirthKeeper Added in Afterbirth †Apollyon
Mom's Heart Lost Baby Cute Baby Glass Baby Shadow Baby Dead Baby Crow Baby Fighting Baby Wrapped Baby Begotten Baby Glitch Baby -0- Baby Goat Head Baby Super Greed Baby Smelter
Added in Afterbirth All Completion Marks Buddy Baby Colorful Baby Picky Baby Belial Baby Hive Baby Whore Baby Revenge Baby Sucky Baby Dripping Baby Cracked Baby Godhead Dark Baby Sale Baby Apollyon Baby

Trivia[edit | edit source]

  • Prior to update 1.03, the reduced drop-rate affected all Pickups (not just Red Hearts).
  • Godhead Godhead's unlock requirements were extended in the Afterbirth DLC (and further extended in the Afterbirth+ DLC) due to the addition of more completion marks, but it can still be unlocked in the base game using the same method.

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