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Guppy Beelzebub Added in Afterbirth Super Bum Added in Afterbirth Yes Mother? Added in Afterbirth Bob Added in Afterbirth Fun Guy Added in Afterbirth Leviathan Added in Afterbirth Conjoined
Added in Afterbirth Spun Added in Afterbirth Seraphim Added in Afterbirth Oh Crap Added in Afterbirth † Bookworm Added in Afterbirth † Spider Baby Added in Afterbirth † Adult Added in Afterbirth † Stompy

Upon getting three items or pills that increase Isaac's size, he will create dust clouds when walking and have a chance to spawn rock waves around him upon taking damage.

Passive Collectibles[edit | edit source]

Name ID Icon Quote Description
Leo 302 Leo Stompy Allows you to crush rocks when you walk over them.
Magic Mushroom 12 Magic Mushroom All Stats Up! Increases most stats, enlarges Isaac, grants a heart container and restores all health.

Pills[edit | edit source]

Notes[edit | edit source]

  • Picking up items that decrease size do not count against progress for this transformation.
  • This transformation makes it more difficult to effectively use blood donation machines and Devil beggars, as the rock waves will destroy them.

Trivia[edit | edit source]

  • This transformation and Adult are the only transformations that pills count towards.
  • This is the only transformation that doesn't add to Isaac's costume, and instead only changes his size and adds dust trails when he walks, as if kicking up dirt by stomping.

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