Binding of Isaac: Rebirth Wiki
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I can't edit this in, but killing Mom's Heart with the Bible will also unlock this item (and I would assume It Lives would function the same way). I would know, given that that just happened to me. (Unfortunately I wasn't recording it or anything.) 108.18.228.125 18:21, 30 May 2020 (UTC)

Thanks for the info. However, that's just a coincidence because The Bible just kills Mom's Heart/It Lives, it doesn't unlock anything special. Sorry! --Sirtimmothybrentwood 03:56, 30 May 2020 (UTC).
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