This item might be a reference to Cutaneous horns, unusual keratinous skin tumors with the appearance of horns.
Little Horn was originally an unofficial item which was supposed to showcase the modding capabilities of Afterbirth+ in the PAX 2016 livestream. However, all items included in the demo were later added to the final game.
This page was last edited on 14 October 2020, at 19:30.
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