Challenges

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Challenges are unique runs in the game. Isaac typically starts each challenge with one or more specific items which makes normal play more difficult. With few exceptions, Treasure RoomTreasure Rooms are not available during challenges. Each challenge unlocks new content for the game, such as runes, when completed. Players, with the advent of modding, have created their own Custom Challenges too.

General Strategy

Most challenges are designed to increase the difficulty of the game in a unique fashion. This doesn't mean all challenges are especially difficult. Challenges like Computer Savvy can be quite easy to beat, other challenges compensate for this by being especially punishing; Solar System being a good example of this. Each challenge has certain strategies that can be employed to make the run easier. However, there are a few strategies that can be applied to most challenges.

  • Challenges can be played in co-op, allowing a second player to contribute to the run without being hindered in the same way Isaac is. This is especially useful in any challenge where Isaac is Blindfolded, as the second player will be allowed to fire tears normally.
    • (in Repentance) If other players join the game in the first room for true co-op, they will not get to select a character and will be forced to play as the character the challenge has you play as, ex. for Blue Bomber, all players will be forced to play as Character ??? (Character) icon.png??? no matter what. (This excludes untrue co-op because of co-op babies.)
  • Due to the lack of Treasure RoomTreasure Rooms, Devil RoomDevil Rooms become much more valuable. Some challenges can be made much easier by making just one deal, however many challenges reduce Isaac's health to the extent that Devil Deals become too risky.
    • Some rooms (including Crawl SpaceCrawl Spaces) may have Treasure Room items by default. Since these items are random, results can vary from run to run.
    • Because locked Treasure Rooms don't spawn, keys can be used far more liberally. Also, trinkets and items that generate more coins, along with upgraded ShopShops, can help Isaac acquire a greater range of powerful items.
  • Collectible The Bible icon.pngThe Bible instantly kills Boss Mom ingame.pngMom and Boss Mom's Heart ingame.pngMom's Heart / Boss It Lives ingame.pngIt Lives. All challenges require defeating Mom, and most require defeating Mom's Heart or It Lives, making this an extremely powerful item, especially in challenges where Mom or Mom's Heart / It Lives is the final boss.
  • Curse RoomCurse Rooms can spawn items, making them valuable.
  • (in Rebirth) In some challenges, Dice RoomDice Rooms and the Collectible D4 icon.pngD4 are very useful, allowing that challenge's starting items to be rerolled, thus removing most of the difficulty. NOTE: This changes depending on the challenge. Most challenge pages contain details on the results of rerolling.
    • (in Afterbirth † and Repentance)Butter!Butter! can also remove starter items.
  • Blindfolded challenges are arguably the most difficult challenges due to Isaac's inability to fire tears. There are several methods to work around this.
    • Familiars can provide an alternative method of dealing damage. Powerful familiars like Collectible Lil Brimstone icon.pngLil Brimstone, (except in Rebirth)Collectible Succubus icon.pngSuccubus, (except in Rebirth)Collectible Incubus icon.pngIncubus, and (in Repentance)Collectible Twisted Pair icon.pngTwisted Pair are therefore highly useful items.
    • Collectible The Boomerang icon.pngThe Boomerang, Collectible The Candle icon.pngThe Candle, and Collectible Red Candle icon.pngRed Candle are also useful for blindfolded challenges, as they recharge based on a timer, rather than an amount of cleared rooms.
    • (except in Rebirth) Golden Bomb.pngGolden Bomb also provides a powerful damage output method for a floor.
    • (except in Repentance)Collectible Clicker icon.pngClicker can allow Isaac to change into (except in Rebirth) Character Lilith icon.pngLilith, whose (except in Rebirth)Collectible Incubus icon.pngIncubus overrides the blindfolded effect by default.
    • Some active items like Collectible Tammy's Head icon.pngTammy's Head can be really helpful, providing an alternative method of dealing damage.
    • (in Repentance) Collectible Maw Of The Void icon.pngMaw Of The Void, Collectible Revelation icon.pngRevelation, and Collectible Montezuma's Revenge icon.pngMontezuma's Revenge can be charged and fired even while Blindfolded, giving you very powerful attacks when you're not supposed to be able to shoot.
  • (except in Rebirth)Collectible Chaos icon.pngChaos is a powerful item in challenges, as it can allow powerful items to be found more commonly, such as in the Shop or after defeating bosses.
  • Defeating a boss beyond the specified end of the challenge (e.g. defeating Boss Mom's Heart ingame.pngMom's Heart when the goal is to defeat Boss Mom ingame.pngMom) will still spawn the trophy.
    • (in Afterbirth and Afterbirth †) In some longer challenges (e.g. XXXXXXXXL), using a Sacrifice RoomSacrifice Room until it teleports Isaac to the Dark RoomDark Room is a viable strategy. Once in the Dark Room, the trophy can be spawned by defeating Boss The Lamb ingame.pngThe Lamb.
      • (in Afterbirth †) In a similar vein, all runs can be completed by killing Boss Delirium ingame.pngDelirium, meaning that the player can beat a challenge through an alternative method such as defeating Boss Hush ingame.pngHush then traveling to The VoidThe Void; however, this is generally extremely difficult given the restrictions challenges place on the player.

Notes

Challenges List

Name Conditions Goal Unlocked by Unlocks
1. Pitch Black
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Curse of Darkness.pngCurse of Darkness
Curse of the Unknown.pngCurse of the Unknown
Item Pool Treasure Room.png: yes
Item Pool Shop.png: no
Boss Mom portrait.png Default Rune of Hagalaz Rune of Hagalaz
2. High Brow
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Number One icon.pngNumber One
Collectible E. Coli icon.pngE. Coli
Collectible Butt Bombs icon.pngButt Bombs
Collectible Flush! icon.pngFlush!
Petrified PoopPetrified Poop
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default Rune of Jera Rune of Jera
3. Head Trauma
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Tiny Planet icon.pngTiny Planet
Collectible Soy Milk icon.pngSoy Milk
Collectible The Small Rock icon.pngThe Small Rock
Collectible Iron Bar icon.pngIron Bar
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default Rune of Ehwaz Rune of Ehwaz
4. Darkness Falls
Character Eve appearance.png
Full red heartFull red heart
Starts with:
Collectible Pentagram icon.pngPentagram
Collectible Dead Bird icon.pngDead Bird
Collectible Whore of Babylon icon.pngWhore of Babylon
Collectible Razor Blade icon.pngRazor Blade
Collectible Sacrificial Dagger icon.pngSacrificial Dagger
Collectible Dark Matter icon.pngDark Matter
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Satan portrait.png Darkness Falls (except in Repentance) Defeat Mom's Heart 11 times and unlock Character Eve icon.pngEve
(in Repentance) Defeat Mom's Heart 11 times and defeat ??? as Character Eve icon.pngEve
Rune of Dagaz Rune of Dagaz
5. The Tank
58.5px
Full red heartFull red heartFull red heartFull red heart
Starts with:
Collectible Infamy icon.pngInfamy
Collectible Bucket of Lard icon.pngBucket of Lard
Collectible Thunder Thighs icon.pngThunder Thighs
Collectible Yum Heart icon.pngYum Heart
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png The Tank Have 7 or more Red Heart Containers at one time Rune of Ansuz Rune of Ansuz
6. Solar System
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Blindfolded.pngBlindfolded
Starts with:
Collectible Distant Admiration icon.pngDistant Admiration
Collectible Forever alone icon.pngForever alone
Collectible Halo of Flies icon.pngHalo of Flies
Collectible Transcendence icon.pngTranscendence
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom's Heart portrait.png Solar System Defeat Mom's Heart 3 times Rune of Perthro Rune of Perthro
7. Suicide King
43.5px
Full red heartFull red heartFull red heart
Starts with:
Collectible Ipecac icon.pngIpecac
Collectible Mr. Mega icon.pngMr. Mega
Collectible My Reflection icon.pngMy Reflection
1 random pill
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Isaac portrait.png Suicide King Defeat Mom's Heart 11 times and unlock Character Lazarus icon.pngLazarus Suicide King Suicide King
8. Cat Got Your Tongue
Character Isaac appearance.png
Full red heartFull red heartFull red heartFull black heartFull black heartFull black heartFull soul heartFull soul heartFull soul heart
Blindfolded.pngBlindfolded
Starts with:
Collectible Guppy's Hairball icon.pngGuppy's Hairball
Collectible Guppy's Head icon.pngGuppy's Head
Collectible Guppy's Tail icon.pngGuppy's Tail
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Cat Got Your Tongue Become Guppy Rune of Algiz Rune of Algiz
9. Demo Man
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Dr. Fetus icon.pngDr. Fetus
Collectible Remote Detonator icon.pngRemote Detonator
Match StickMatch Stick
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom's Heart portrait.png Demo Man Defeat Mom's Heart 9 times Chaos Card Chaos Card
10. Cursed!
58.5px
Full red heartFull red heartFull red heartFull red heart
Starts with:
Collectible Blue Map icon.pngBlue Map
Collectible The Compass icon.pngThe Compass
Collectible Raw Liver icon.pngRaw Liver
Collectible Treasure Map icon.pngTreasure Map
Collectible Yum Heart icon.pngYum Heart
Child's HeartChild's Heart
Curse of the Cursed.pngCurse of the Cursed
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
Boss Mom portrait.png Cursed! Have 7 or more Red Heart Containers at one time Credit Card Credit Card
11. Glass Cannon
Character Judas appearance.png
Full red heart
Starts with:
Collectible Epic Fetus icon.pngEpic Fetus
Collectible Loki's Horns icon.pngLoki's Horns
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Satan portrait.png Glass Cannon Beat The Family Man (challenge #19), defeat Lokii, and unlock Character Judas icon.pngJudas Rules Card Rules Card
12. When Life Gives You Lemons
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible 9 Volt icon.png9 Volt
Collectible Habit icon.pngHabit
Collectible Lemon Mishap icon.pngLemon Mishap
1 Lemon Party pill
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default Card Against Humanity Card Against Humanity
13. Beans!
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Blindfolded.pngBlindfolded
Starts with:
Collectible 9 Volt icon.png9 Volt
Collectible The Bean icon.pngThe Bean
Collectible The Black Bean icon.pngThe Black Bean
Collectible Butt Bombs icon.pngButt Bombs
Collectible Pyro icon.pngPyro
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default Burnt Penny Burnt Penny
14. It's in the Cards
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible 9 Volt icon.png9 Volt
Collectible The Battery icon.pngThe Battery
Collectible Deck of Cards icon.pngDeck of Cards
Collectible Starter Deck icon.pngStarter Deck
2 random tarot cards
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default SMB Super Fan SMB Super Fan
15. Slow Roll
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Cupid's Arrow icon.pngCupid's Arrow
Collectible My Reflection icon.pngMy Reflection
Collectible Polyphemus icon.pngPolyphemus
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default Swallowed Penny Swallowed Penny
16. Computer Savvy
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Spoon Bender icon.pngSpoon Bender
Collectible Technology icon.pngTechnology
Collectible Technology 2 icon.pngTechnology 2
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default Robo-Baby 2.0 Robo-Baby 2.0
17. Waka Waka
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Anti-Gravity icon.pngAnti-Gravity
Collectible Strange Attractor icon.pngStrange Attractor
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default Death's Touch Death's Touch
18. The Host
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible The Mulligan icon.pngThe Mulligan
Collectible Spiderbaby icon.pngSpiderbaby
TickTick
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default Technology .5 Technology .5
19. The Family Man
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Blindfolded.pngBlindfolded
Starts with:
Collectible BFFS! icon.pngBFFS!
Collectible Brother Bobby icon.pngBrother Bobby
Collectible Dad's Key icon.pngDad's Key
Collectible Rotten Baby icon.pngRotten Baby
Collectible Sister Maggy icon.pngSister Maggy
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Isaac portrait.png The Family Man Pick up both Key Pieces from the Angels in one run Epic Fetus Epic Fetus
20. Purist
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom's Heart portrait.png Purist Defeat Mom Rune of Berkano Rune of Berkano
(except in Rebirth) 21. XXXXXXXXL
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
Every floor is the size of an XL WombWomb floor, but does not combine the floors of each chapter.
Boss Mom's Heart portrait.png XXXXXXXXL Defeat Mom Gold Heart Gold Heart
(except in Rebirth) 22. SPEED!
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
Everything is sped up like the Collectible Broken Watch icon.pngBroken Watch effect. After the game timer reaches 16 minutes, Isaac starts taking damage every 10 seconds.
Boss Mom's Heart portrait.png SPEED! Defeat Mom Get out of Jail Free Card Get out of Jail Free Card
(except in Rebirth) 23. Blue Bomber
Character ??? appearance.png
Full soul heartFull soul heartFull soul heart
Blindfolded.pngBlindfolded
Starts with:
Collectible Brother Bobby icon.pngBrother Bobby
Collectible Kamikaze! icon.pngKamikaze!
Collectible Pyromaniac icon.pngPyromaniac
Collectible Mr. Mega icon.pngMr. Mega
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Satan portrait.png Blue Bomber Destroy 10 Tinted Rocks and defeat Mom's Heart 11 times Gold Bomb Gold Bomb
(except in Rebirth) 24. PAY TO PLAY
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Money = Power icon.pngMoney = Power
Collectible Sack of Pennies icon.pngSack of Pennies
50 coins
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Every door costs 1 cent to enter. Isaac drops money when hit. Isaac dies if he run out of money.
Boss Isaac portrait.png PAY TO PLAY Defeat Isaac as Character Cain icon.pngCain and destroy 10 Tinted Rocks 2 new pills 2 new pills
(except in Rebirth) 25. Have a Heart
Character Isaac appearance.png
Full red heartEmpty red heartEmpty red heartEmpty red heartEmpty red heartEmpty red heart
Empty red heartEmpty red heartEmpty red heartEmpty red heartEmpty red heartEmpty red heart
Starts with:
Collectible Charm of the Vampire icon.pngCharm of the Vampire
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
Penny.pngPennies drop instead of Red Heart.pngRed Hearts. Many items that restore Red Heart.pngRed Hearts have no effect.
Boss Mom's Heart portrait.png Have a Heart Defeat Mom 2 new pills 2 new pills
(except in Rebirth) 26. I RULE!
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible The Boomerang icon.pngThe Boomerang
Collectible Key Piece 1 icon.pngKey Piece 1
Collectible Key Piece 2 icon.pngKey Piece 2
Collectible The Ladder icon.pngThe Ladder
Collectible Mom's Knife icon.pngMom's Knife
Collectible Trinity Shield icon.pngTrinity Shield
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mega Satan portrait.png I RULE! (in Rebirth and Afterbirth) Defeat ??? or The Lamb, defeat Satan as Character Isaac icon.pngIsaac, and unlock Collectible The Negative icon.pngThe Negative
(in Afterbirth †) Defeat ??? or The Lamb, and defeat Satan as Character Isaac icon.pngIsaac
(in Repentance) Defeat Mega Satan and unlock Collectible The Negative icon.pngThe Negative
Poker Chip Poker Chip
(except in Rebirth) 27. BRAINS!
Character ??? appearance.png
Full soul heartFull soul heartFull soul heart
Blindfolded.pngBlindfolded
Starts with:
3 Collectible Bob's Brain icon.pngBob's Brain
Collectible Thunder Thighs icon.pngThunder Thighs
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss ??? portrait.png BRAINS! Defeat Isaac 5 times Stud Finder Stud Finder
(except in Rebirth) 28. PRIDE DAY!
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible 3 Dollar Bill icon.png3 Dollar Bill
Collectible Rainbow Baby icon.pngRainbow Baby
Rainbow WormRainbow Worm
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Cannot drop or replace Rainbow WormRainbow Worm.
Boss Mom's Heart portrait.png PRIDE DAY! Defeat Mom D8 D8
(except in Rebirth) 29. Onan's Streak
Character Judas appearance.png
Full red heart
Starts with:
Collectible The Book of Belial icon.pngThe Book of Belial
Collectible Chocolate Milk icon.pngChocolate Milk
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
Missing a shot deals damage to Character Judas icon.pngJudas.
Boss Isaac portrait.png Onan's Streak (in Afterbirth and Afterbirth †) Defeat Boss Mom ingame.pngMom
(in Repentance) Unlock Character Judas icon.pngJudas and Boss It Lives ingame.pngIt Lives.
Kidney Stone Kidney Stone
(except in Rebirth) 30. The Guardian
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Blindfolded.pngBlindfolded
Starts with:
Collectible Holy Grail icon.pngHoly Grail
Collectible Isaac's Heart icon.pngIsaac's Heart
Collectible Punching Bag icon.pngPunching Bag
Collectible Spear Of Destiny icon.pngSpear Of Destiny
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Collectible Isaac's Heart icon.pngIsaac's Heart will follow Collectible Punching Bag icon.pngPunching Bag instead of Isaac.
Boss Mom's Heart portrait.png The Guardian Defeat Mom Blank Rune Blank Rune
(in Afterbirth † and Repentance) 31. Backasswards
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
8-10 random items
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
All chapters progress in reverse order, losing 1 item and 1 Red Heart container each floor ascended.
BasementBasement/CellarCellar/Burning BasementBurning Basement I Backasswards (except in Repentance) Defeat ??? or The Lamb
(in Repentance) Defeat Mega Satan and unlock Collectible The Negative icon.pngThe Negative
Laz Bleeds More! Laz Bleeds More!
(in Afterbirth † and Repentance) 32. Aprils Fool
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
The minimap displays the floor's layout accurately but displays Isaac's position inaccurately. Pedestal items and pickups are not what they appear to be. Active items, pills, cards, and rune effects are randomized upon each use, making them very unreliable or deadly (for example Suicide KingSuicide King). Items with no charge time (i.e. Collectible How to Jump icon.pngHow to Jump, Collectible IV Bag icon.pngIV Bag, etc) can be used repeatedly for random effects. Stoney.pngStonies have a chance of being replaced by a Cross Stoney.pngCross Stoney. Every boss is Boss The Bloat ingame.pngThe Bloat. Isaac's health is not what it appears to be. Inventory pickups numbers are accurate.
Boss Mom's Heart portrait.png Aprils fool Defeat Mom Maggy Now Holds a Pill! Maggy Now Holds a Pill!
(in Afterbirth † and Repentance) 33. Pokey Mans
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Friendly Ball icon.pngFriendly Ball
Collectible Mom's Eyeshadow icon.pngMom's Eyeshadow
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Each use of Friendly Ball causes a random monster to be spawned. Friendly Ball instantly charges once the spawned monster is killed.
Boss Isaac portrait.png Pokey Mans Defeat Mom's Heart 11 times Charged Key Charged Key
(in Afterbirth † and Repentance) 34. Ultra Hard
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Key Piece 1 icon.pngKey Piece 1
Collectible Key Piece 2 icon.pngKey Piece 2
Curse of the Labyrinth.pngCurse of the Labyrinth
Curse of the Blind.pngCurse of the Blind
Curse of the Lost.pngCurse of the Lost
Curse of the Maze.pngCurse of the Maze
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
All enemies spawn as champions if possible. Boss fights will be double trouble if possible. No heart pickups drop.
Boss Mega Satan portrait.png Ultra Hard (except in Repentance) Defeat ??? or The Lamb. Possession of Collectible The Polaroid icon.pngThe Polaroid / Collectible The Negative icon.pngThe Negative is required, barring getting to Dark RoomDark Room through a Sacrifice RoomSacrifice Room.
(in Repentance) Defeat Mega Satan and unlock Collectible The Negative icon.pngThe Negative
Samson Feels Healthy! Samson Feels Healthy!
(in Afterbirth † and Repentance) 35. Pong
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Cupid's Arrow icon.pngCupid's Arrow
Collectible Rubber Cement icon.pngRubber Cement
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Damage fixed at 100, tear delay fixed at 150.
Boss ??? portrait.png PONG Defeat Isaac 5 times Greed's Gullet Greed's Gullet
(in Repentance) 36. Scat Man
Character Isaac appearance.png
Full red heartFull red heartFull red heartFull red heart
Blindfolded.pngBlindfolded
Starts with:
Collectible The Poop icon.pngThe Poop
Collectible 9 Volt icon.png9 Volt
Collectible Skatole icon.pngSkatole
Collectible E. Coli icon.pngE. Coli
3 Collectible Butt Bombs icon.pngButt Bombs
Collectible BFFS! icon.pngBFFS!
Collectible Thunder Thighs icon.pngThunder Thighs
Collectible Dirty Mind icon.pngDirty Mind
Mysterious CandyMysterious Candy
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mom portrait.png Default Dirty Mind Dirty Mind
(in Repentance) 37. Bloody Mary
Character Bethany appearance.png
Full red heartFull red heartFull red heartFull red heart
Starts with:
Collectible The Book of Belial icon.pngThe Book of Belial
Collectible Blood Bag icon.pngBlood Bag
Collectible Anemic icon.pngAnemic
Collectible Blood Oath icon.pngBlood Oath
Child's HeartChild's Heart

4 soul charges
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Satan portrait.png Bloody Mary Unlock Character Bethany icon.pngBethany, Collectible Blood Bag icon.pngBlood Bag, and It Lives! Sigil of Baphomet Sigil of Baphomet
(in Repentance) 38. Baptism by Fire
Character Bethany appearance.png
Full red heartFull red heartFull red heart
Blindfolded.pngBlindfolded
Starts with:
Collectible Urn of Souls icon.pngUrn of Souls
Collectible Schoolbag icon.pngSchoolbag
Collectible Guppy's Paw icon.pngGuppy's Paw
Maggy's FaithMaggy's Faith
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Isaac portrait.png Baptism by Fire Defeat Satan as Character Bethany icon.pngBethany, defeat Mom's Heart 11 times, and unlock Maggy's FaithMaggy's Faith Purgatory Purgatory
(in Repentance) 39. Isaac's Awakening
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Spirit Sword icon.pngSpirit Sword
Collectible Trinity Shield icon.pngTrinity Shield
Collectible Mom's Bracelet icon.pngMom's Bracelet
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
Boss Mother portrait.png Isaac's Awakening Defeat Mother Spirit Sword Spirit Sword
(in Repentance) 40. Seeing Double
Character Jacob appearance.png
Full red heartFull red heartFull red heartFull red heartFull soul heart
Starts with:
Jacob: Collectible 20 20 icon.png20/20
Esau: Collectible 20 20 icon.png20/20
Collectible X-Ray Vision icon.pngX-Ray Vision
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
All enemies and bosses are doubled.
Boss Mom's Heart portrait.png Seeing Double Defeat Mother Broken Glasses Broken Glasses
(in Repentance) 41. Pica Run
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Mom's Box icon.pngMom's Box
Collectible Marbles icon.pngMarbles
Collectible Mom's Purse icon.pngMom's Purse
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
All items are replaced by random trinkets.

Collectible Marbles icon.pngMarbles activates on every hit.

Boss Isaac portrait.png Pica Run Defeat Mom's Heart 11 times and unlock Collectible Marbles icon.pngMarbles Ice Cube Ice Cube
(in Repentance) 42. Hot Potato
Character Tainted Forgotten appearance.png
Full soul heartFull soul heartFull soul heart
Blindfolded.pngBlindfolded
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
The Forgotten cannot fire tears and explodes every 2.5 seconds. Explosion timer resets upon entering a room or picking up an item.
Boss Satan portrait.png The Fettered Use Collectible Red Key icon.pngRed Key (etc.) to open the hidden closet in (in Repentance)HomeHome as Character The Forgotten icon.pngThe Forgotten The Chariot The Chariot
(in Repentance) 43. Cantripped!
Character Tainted Cain appearance.png
Full red heartFull red heart
Item Pool Treasure Room.png: no
Item Pool Shop.png: yes
All cards and pills are replaced with item cards. Enemies also have a chance of dropping an item card when killed. The Collectible Bag of Crafting icon.pngBag of Crafting now initially holds a maximum of 3 item cards at once. When picked up, each item card shows a preview of a random Active Item that, when used, activates the effect.

All boss item drops are replaced with Collectible Starter Deck icon.pngStarter Deck, which increases the max card limit by 1 and drops 3 item cards.

Boss Mom portrait.png The Hoarder Use Collectible Red Key icon.pngRed Key (etc.) to open the hidden closet in (in Repentance)HomeHome as Character Cain icon.pngCain Justice Justice
(in Repentance) 44. Red Redemption
Character Tainted Jacob appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible Dad's Key icon.pngDad's Key
Collectible Red Key icon.pngRed Key
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
The starting room spawns with no rooms connected to it. Rooms spawn in clusters around the map and must be found via the Collectible Red Key icon.pngRed Key. While the Red Key can be used an infinite number of times, it has 20 uses before Dark Esau.pngDark Esau spawns. Each subsequent 5 uses will spawn another Dark Esau if Character Tainted Jacob icon.pngTainted Jacob has yet to turn into his lost form. The Red Key cannot be used to open doors to I AM ERRORI AM ERROR rooms.

Each floor generates as a Curse of the Labyrinth.pngCurse of the Labyrinth floor, with one shop, and two item and boss rooms, except the fourth floor, which has only one boss room. All rooms may be from any floor of the current chapter.

Boss Mother portrait.png The Deserter Use Collectible Red Key icon.pngRed Key (etc.) to open the hidden closet in (in Repentance)HomeHome as Character Jacob and Esau icon.pngJacob and Esau The Hermit The Hermit
(in Repentance) 45. DELETE THIS
Character Isaac appearance.png
Full red heartFull red heartFull red heart
Starts with:
Collectible TMTRAINER icon.pngTMTRAINER
Item Pool Treasure Room.png: yes
Item Pool Shop.png: yes
All items are randomly generated due to Collectible TMTRAINER icon.pngTMTRAINER. The theme of each area, its obstacles per area, and music are randomized. Some obstacle sprites are randomized even within a level and sometimes the music may be missing altogether. Occasionally, even the floor texture might glitch out, replacing it with a plain color. Shop item prices range from 1 cent to 99.

The challenge itself appears under the challenge list without any text, effectively rendering it invisible.

Boss ??? portrait.png DELETE THIS Unlock Character Tainted Eden icon.pngTainted Eden Temperance Temperance