Completing this transformation will take the three bums and replace them with the Super Bum familiar, who automatically collects all coins, red hearts, and keys in the room and drops twice as many rewards as the regular bums would have produced.
| Bum Friend
|| He's greedy
|| A portable beggar who follows Isaac, picks up coins for himself, and occasionally drops a pickup after collecting a coin. Does not spawn collectibles.
| Dark Bum
|| He wants to take your life
|| Spawns a familiar that follows Isaac around and collects red hearts. For every one-and-a-half red hearts collected, Dark Bum will generate one soul heart, one hostile Spider or one friendly blue spider.
| Key Bum
|| He wants your keys!
|| Spawns a portable key master that follows Isaac and collects keys, giving random chests in return.
- This transformation has a unique animation sequence when the third bum is picked up.
- When Dark Bum is obtained through Cambion Conception, it does not count towards the transformation.
- This is the only transformation that does not affect Isaac himself, but instead transforms (and even fuses) certain familiars.