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.
||Allows you to crush rocks when you walk over them.
||All Stats Up!
||Increases most stats, enlarges Isaac, grants a heart container and restores all health.
- 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.
- 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.