Tainted Lazarus is a character added in The Binding of Isaac: Repentance. He is the alternate version of Lazarus, playable in two different states: Tainted Lazarus and Dead Tainted Lazarus. Tainted Lazarus has ragged hair and is covered in dirt while Dead Tainted Lazarus has pale white skin, glassy eyes, and is covered in blood. Horizontal scars are noticeable on the wrists of both forms of Tainted Lazarus. Tainted Lazarus is unlocked by reaching Home and using the Red Key, Cracked Key, or Soul of Cain to access a special room in one of the walls while playing as Lazarus.
Tainted Lazarus starts with 3 Red Hearts, whereas Dead Tainted Lazarus starts with 2 Soul Hearts. Tainted Lazarus begins with fairly low range while Dead Tainted Lazarus has a 1.5× damage multiplier, slightly lower tears and speed, and −2 luck. Each character has separate items, attributes, trinkets, and consumables, similar to Jacob and Esau, except each character is only played individually. Whenever a room is cleared, including each wave of multi-wave rooms like in Greed Mode and Challenge Rooms, Tainted Lazarus swaps between the two forms, essentially requiring the player to play each character on every other room. Tainted Lazarus starts with Flip in his consumable slot, which can be used to swap states immediately.
Unlike other characters, Tainted Lazarus' Flip only requires 4 charges.
Correctly managing the charges of Flip to get items for both forms of Tainted Lazarus from Treasure Rooms, Shops, Devil Rooms, and Angel Rooms is very important, as grabbing every flipped item effectively doubles the power of Tainted Lazarus.
The only way to access the ghostly form of an item generated by Flip is by using it to switch forms. Re-entering the room with a different form of Tainted Lazarus does not flip the item pedestals. Making Tainted Lazarus switch form inside the room without using Flip (for example, after fighting an angel in the Angel room), does not flip the item pedestals.
Flipping between forms will effectively act as a room transition for certain items; in other words, flipping back in the same room will reset those items as if a new room had been entered.
Items that grant extra lives (Dead Cat, 1up!, Lazarus' Rags, etc.) only affect the one who picks them up. If Dead Lazarus collects an extra life item, it can only activate when Dead Lazarus is the active character, and vice versa.
Transforming into a different character (e.g. with Clicker) will only give the new character items from the form that is currently active.
If one form of Tainted Lazarus is reduced to zero hearts while being in the transitioning phase of Flip, he will remain alive as the other form, but die as soon as he switches back. There is nothing the other form can do to prevent that death, unless you're playing co-op and being revived after a boss death; in greedier/greed mode you will be revived if another player kills the first boss wave fought, while in XL floors, it is the 2nd boss killed that allows for a player revival while you are in the T Lazarus form that is in a baby ghost familiar form, so it's recommended to plan rooms accordingly.
Quest items are counted as both characters having them.
The Polaroid and The Negative work on both Living Tainted Lazarus and Dead Tainted Lazarus, regardless of which picked them up.
Key Piece 1 and Key Piece 2 will grant their Angel Room bonus to both characters, and will combine to a whole key even if the pieces are not on the same character.
Knife Piece 1 and Knife Piece 2 will combine to a whole knife usable by both characters regardless of who has which piece.
Dogma's flight and stat bonuses are applied to both characters, but healing and Holy Mantle apply only to the active character when receiving it. Since forms change after defeating Dogma, and the item is bestowed after the cutscene, this means that the form that was not active to defeat Dogma will receive the healing and mantle effect.
Temporary buffs such as Razor Blade disappear when you switch from one character to the other. This is especially noticeable in Greed Mode.
However, room buffs like I'm Drowsy, Era Walk, and XI - Strength? will stay in effect between flips. Any stat bonuses given are lost.
Only the character that picks up an activated item first gets the progress for related transformations, so the player needs to be aware of what character needs the transformation progress.
Tainted Lazarus takes a lot of micromanagement compared to most other characters. It can be difficult to accomplish simple tasks due to the forced switching between forms and Flip's long charge time. Try to stay ahead of this, and pay close attention to what form is active and when they will shift. Something such as collecting an item from a Treasure Room or Curse Room can potentially go wrong if enemies happen to be inside, as when they are defeated, Tainted Lazarus will switch form. This can lead to an undesired item on one form, or a forced use of Flip.
If an Angel Room has an item you would prefer on one form over the other, and Flip is not currently charged, using a bomb on the Angel Statue and fighting the Angel that spawns will make Tainted Lazarus flip upon the fight's completion. This does not flip the item, however.
Active items will recharge even when the other form is active. For example, it will take 3 rooms to charge an active item that requires 3 bars to charge, despite the fact that the flipped form doesn't have the same active item. This effectively allows him to double the active item slots.
Tainted Lazarus's strength lies in his control over his health bars. Using Flip strategically can avoid death if one form is low, save a deal chance if one character only has Red Hearts.
If one form of Tainted Lazarus has flight and a room is cleared while above usually inaccessible land, Tainted Lazarus will gain a temporary flight for the current room.
Greed and Greedier Modes have the following interactions with Tainted Lazarus:
Each completed wave swaps from one form of Tainted Lazarus to the other, which locks him in the flip animation for about a second. He cannot fire tears while in this animation.
Temporary buffs, such as The Book of Belial or XI - Strength, will disappear when switching from one character to the other.
Clearing the room before Ultra Greed does not switch characters.
Some items and trinkets with the lazarussharedglobal item tag are now shared between both forms. This includes items that map parts of the floor such as The Compass, items that increase devil/angel deal chance such as Black Candle, and items/trinkets that spawn new or altered rooms on each floor such as Voodoo Head. Items that grant a shared effect and a stat boost (such as Pentagram, which grants a damage increase and increases devil deal chance), will not transfer the stat increases between forms.
Items that affect room clear awards (for example, Contract From Below) work only when the character holding the item appears after clearing the room.
During Dogma + The Beast fight, flips happen between each boss, including the Ultra Harbingers.
While playing co-op, Tainted Lazarus will still swap between forms while dead; if one of Tainted Lazarus' forms dies while the other is alive, he will alternate between being a ghost baby and a normal character who can.
To be able to revive the dead version of Tainted Lazarus, the player must enter the boss fight while being on the alive form of the character, as the flip takes place BEFORE the revive process.
Item Interactions
Birthright: Whichever version of Tainted Lazarus is not active will be available as a "ghost", moving alongside the current Tainted Lazarus like Esau, able to fire tears but immune to taking damage. Both characters receive the Birthright effect when one character collects it.
Some effects from the inactive form's items will apply to the active form now as well. For example, Damocles can fall and kill the player.
Revival items collected by one form will work if the other dies, and will affect health of both forms upon revival (similar to Jacob and Esau interaction).
If a one-room effect is triggered before a flip, the effect will be retained by the ghost for the remainder of the room. For example, if one form uses The Nail and then finishes the room, it will become the ghost but will still be able to crush obstacles.
The active character can be damaged by the other form's bombs such as those from Dr. Fetus.
If one form has Lachryphagy, the other form's tears will also be absorbed but the tear will not grow.
Boss Challenge Rooms will require both forms to have 1 HP to enter, instead of only the active one.
Only the form that is currently active can cross The Ladder when bridging a gap.
Allows the ghostly form of Tainted Lazarus to press the wave stop button in Greed/Greedier Mode without taking damage.
Buddy in a Box: The familiar changes appearance and tear effects each time the character who has Buddy in a Box is flipped to.
Crown Of Light: In Greed Mode, once damage is taken, and Flip is used twice, the Crown of Light will appear visually to be active, but its effects are still disabled.
D4/D8/D100: Rerolls only apply to the form holding the die.
Genesis: Resets both forms' items and spawns items based on the total amount of items from both characters. Flip can be used infinitely while inside the room.
Filigree Feather: Defeated angel bosses drop angel room items only for the form carrying Filigree Feather.
Glitched Crown: Only works while the form holding it is active when an item spawns.
Kidney Stone: After switching in form with Kidney Stone, the effect of item will activate immediately.
Lost Soul: If the Lost Soul dies, it will not respawn by switching characters. If it didn't die, going to the next floor with the character that doesn't have Lost Soul will still grant its rewards once the character is active again.
Luna: The beams of light are available for either form to attain.
The Stairway: Will work while either form is active while going down a floor.
Star of Bethlehem: The star only moves while the character holding it is active, effectively making it take twice as long to reach the boss room. Additionally, if that character is inactive when entering the floor, the star will not spawn until that character becomes active, in which case it spawns in the center of the current room.
There's Options: Will still grant two boss items, regardless of who fought the boss.
TMTRAINER: Only generates glitched items if the form holding it is the one to see the item first. This can allow the player to get normal, unglitched items onto the form holding TMTRAINER, and glitched items onto the form without it if desired.
Urn of Souls: Souls cannot be collected by an inactive character. This means that as soon as the room is cleared, all souls still in the air are lost even after you Flip.
The Battery: Any extra charges Flip acquires will not be lost when switching to the form without The Battery, allowing you to build up an extra activation, although at a slower than normal pace.
Binge Eater: In a Devil Room, Tainted Lazarus is effectively able to give items to his inactive form for free by picking up a food item. This will remove one heart container, and then instantly restore it. The mirrored Devil items will remain, however, meaning he can use Flip and pick them up as his alternate form for no cost.
Book of the Dead: Bone orbitals and charmed Bonies spawned by Book of The Dead carry over through transforming and benefit either form of Tainted Lazarus.
Items like The Body, Cancer, and other drastic health increases allow Tainted Lazarus to tank large amounts of damage in longer boss fights if spread between forms.
Large damage increases such as Cricket's Head or Synthoil are useful to get onto Tainted Lazarus's living form early to make up for his damage deficit.
Diplopia and Crooked Penny allow for potential duplications of strong items to get on both forms. Though keep in mind that Devil Rooms or Angel Rooms would likely require the form holding them to be active upon entry. Locate the boss room, and if necessary, clear rooms until Flip is charged and you are playing as the form not holding Diplopia or Crooked Penny. Upon defeating the boss, Tainted Lazarus will Flip automatically, allowing the duplication of Devil or Angel Items, followed by flipping and taking the same item on the other form.
Having one form hold Guppy's Paw with a medium to large pool of heart containers can extend the potential time before needing to flip, extending your health bars even further.
Esau Jr.'s body granted by the item has a stronger damage, additional health, and flight. The item can also be given to the other Lazarus by trading it with another active item on a pedestal, performing a flip OUTSIDE the room or a room-clearing flip, and going back to where you left it.
Esau-Lazarus's form is permanent, even if the item is left behind, allowing for a straight-up character upgrade. The only way to change back is with the item itself.
Be careful if the item is acquired late game. The item randomization may throw off the rhythm established by that point, especially if it includes more risky items like Ipecac without any means of mitigation, making it nearly impossible to play with. It's highly recommended to acquire as close to the start of a new run as possible instead. Since it only has one charge though, switching back to Lazarus shouldn't be difficult in most situations.
Jumper Cables can allow for more use of one form's Active Item, or just more use of Flip.
Red Stew's damage bonus does not decrease when the form holding it is inactive.
Star of Bethlehem can be a good way to prevent one form from lagging behind the other power-wise.
Offensive Active Items that charge on a timer, especially Sharp Straw and Glass Cannon, can make up tremendously for one form that happens to be lagging behind. The Sharp Straw in particular, due to how it calculates damage, can make the weaker form much more offensively viable during end game boss fights.
Old Capacitor is a great trinket to find. This will effectively turn Flip into a 12-charge item (due to only being active half of the time); however, the increased spawning of Lil Batteries can allow more micromanagement to take place when a floor is finished, flipping between forms as needed.
Watch Battery is a good alternative, or even supplementary trinket to keep on the other form, as it increases chances of finding Lil Batteries as well.
Low charge Active Items with simple, effective uses, such as Shoop da Whoop!, White Pony, or Spider Butt can be recharged within one large room, and can supplement the lack of power Tainted Lazarus is prone to.
Telepathy For Dummies is an extremely beneficial item, as it allows a respective form to have homing tears every room.
Quints is a great choice in Greed mode, because the 5-familiar limit will reset every time Lazarus flips, while the familiars themselves stay. This allows the player to amass a very large amount of familiars. Birthright ruins this synergy, though.
Bad Items
While not exactly a bad choice, extra lives like Dead Cat or 1up! require a bit more thought to get use out of, due to only reviving the form holding it. If a 1up! is found, try to have the form with more heart containers pick it up to get the most use from it.
Blood Puppy: If it rages, the rage state is retained, which can cause unavoidable damage from it spawning directly on the player when switching forms.
In Greed and Greedier Mode, Sprinkler will disappear when a new wave spawns.
Death's List: Bonus reward cannot be granted unless Tainted Lazarus has Birthright, or both his forms have a copy of Death's List.
4.5 Volt: While the two versions of Tainted Lazarus normally charge both their active items at the same time, 4.5 Volt will only charge them when the form that holds it deals damage, and will also prevent them from being charged when the other clears a room.
Dead Tainted Lazarus's transition screen portrait.
Tainted Lazarus's locked character icon, depicting a closet door inside of another opened closet door.
Trivia
The achievement for unlocking Tainted Lazarus is called "The Enigma", a possible title for the character.
An "enigma" is commonly referred to as "a person or thing that is mysterious, puzzling, or difficult to understand".
If the console command "restart 38" is put into the console, it is possible to start a run as Dead Tainted Lazarus without having to clear a room; however, you will not be able to change into Tainted Lazarus, whether that is from using Flip or from clearing a room.
Tainted Lazarus' wrists appear to be cut, suggesting self-harm or possibly even suicide.
This could be referencing the common strategy of intentionally dying as Lazarus to respawn as his stronger form, Lazarus Risen.
He also constantly leaves behind small pools of blood as he walks, Dead Tainted Lazarus even more so.
If the floor is wet, Tainted Lazarus' inactive form will be in the reflection of the water instead of the active one.
Tainted Lazarus unlocks XX - Judgement?, which could be read as self-doubt because of how hard is Tainted Lazarus to micromanage, unlike most other characters, but also as the reversal of the Judgement card's meaning on rebirth and second chances, as he no longer has his extra life and Lazarus Risen is now referred to as Dead Lazarus instead.
Furthermore, Judgement displays the awakening of the dead in Revelation 20:12-14. His zombified appearance can be seen as being rejected from salvation.
In Christian theology, suicide is seen as rejecting God's gift of life, a sinful act which forfeits salvation.
Tainted Lazarus may have been inspired by the character of Adam from the Community Remix mod of Flash Isaac. Like Tainted Lazarus, Adam switched forms with one side having higher speed and tears and the other having higher damage.
Tainted Lazarus may also be inspired by Schrödinger's cat, a thought experiment in quantum mechanics about a hypothetical cat who can be considered simultaneously alive and dead. His Birthright quote, "Superposition", is also a common term used in quantum mechanics.
Bugs
Bug!
Exiting the run during the second or third wave of a Challenge Room will forcibly flip Tainted Lazarus when the run is continued.
Bug!
If the player teleports out during an active Greed Mode wave, going back to the room will prevent the player from switching forms during waves until he reaches the wave that he was previously on. This is not the case if the waves were completed before the timer has ended.
Bug!
Doing a RERUN when Birthright was obtained will spawn an additional alternate form of the character.
Bug!
If Tainted Lazarus teleports (Mausoleum / Gehenna's teleporters or Stitches) at the same time as the room clears, he will NOT flip between forms.
Bug!
If at least one character has Spear Of Destiny or Trinity Shield, swapping to the other character causes these items to leave a stationary copy of themselves until Tainted Lazarus leaves the room. The stationary spear is only a visual bug with no collision while the stationary shield still blocks tears.
Bug!
Flipping while Baby Plum from the Plum Flute performs her spray attack and flipping again will cause Baby Plum to be stuck on Tainted Lazarus' position when he flipped.
Bug!
Dying with Birthright and an item that revives as a different character (e. g. Judas' Shadow) will immediately kill that character upon revival, ending the run. Having more character-changing revival items will cause the character to die multiple times until there are none left.
However, if Tainted Lazarus has a regular revive item that activates after the character-changing item (which is normally only possible with Guppy's Collar due to the order of activation), one of the forms will be turned into a different character while another will remain Lazarus. The unchanged form will flip in and out of existence as normal, while the other form will always be active. Quitting and resuming the run will require a controller to continue, and will then be played similarly to a Repentance Co-Op run.
Bug!
Transforming into a different character while having Birthright will only transform the active form of Lazarus. The effects will be similar to the ones described in the previous bug (the unchanged form will flip in and out of existence as normal, while the other form will always be active).
Lazarus, playable in two different states: Tainted Lazarus and Dead Tainted Lazarus. Tainted Lazarus has ragged hair and is covered in dirt while Dead Tainted Lazarus has pale white skin, glassy eyes, and is covered in blood. Horizontal scars are noticeable on the wrists of both forms of Tainted Lazarus. Tainted Lazarus is unlocked by reaching 
Home and using the 
Red Key, 
Cracked Key, or 
Soul of Cain to access a special room in one of the walls while playing as Lazarus.
Red Hearts, whereas Dead Tainted Lazarus starts with 2 
Soul Hearts. Tainted Lazarus begins with fairly low range while Dead Tainted Lazarus has a 1.5× damage multiplier, slightly lower tears and speed, and −2 luck. Each character has separate items, attributes, trinkets, and consumables, similar to 
Jacob and Esau, except each character is only played individually. Whenever a room is cleared, including each wave of multi-wave rooms like in Greed Mode and 
Challenge Rooms, Tainted Lazarus swaps between the two forms, essentially requiring the player to play each character on every other room. Tainted Lazarus starts with 
Flip in his consumable slot, which can be used to swap states immediately.
Unlike other characters, Tainted Lazarus' 
Treasure Rooms, 
Shops, 
Devil Rooms, and 
Angel Rooms is very important, as grabbing every flipped item effectively doubles the power of Tainted Lazarus.
Dead Cat, 
1up!, 
Lazarus' Rags, etc.) only affect the one who picks them up. If Dead Lazarus collects an extra life item, it can only activate when Dead Lazarus is the active character, and vice versa.
Clicker) will only give the new character items from the form that is currently active.
The Polaroid and 
The Negative work on both Living Tainted Lazarus and Dead Tainted Lazarus, regardless of which picked them up.
Key Piece 1 and 
Key Piece 2 will grant their Angel Room bonus to both characters, and will combine to a whole key even if the pieces are not on the same character.
Knife Piece 1 and 
Knife Piece 2 will combine to a whole knife usable by both characters regardless of who has which piece.
Dogma's flight and stat bonuses are applied to both characters, but healing and Holy Mantle apply only to the active character when receiving it. Since forms change after defeating Dogma, and the item is bestowed after the cutscene, this means that the form that was not active to defeat Dogma will receive the healing and mantle effect.
Razor Blade disappear when you switch from one character to the other. This is especially noticeable in Greed Mode.
Era Walk, and 
XI - Strength? will stay in effect between flips. Any stat bonuses given are lost.
Boss Rush will flip Tainted Lazarus every wave.
The Book of Belial or 
XI - Strength, will disappear when switching from one character to the other.
Ultra Greed does not switch characters.
The Compass, items that increase devil/angel deal chance such as 
Black Candle, and items/trinkets that spawn new or altered rooms on each floor such as 
Voodoo Head. Items that grant a shared effect and a stat boost (such as 
Pentagram, which grants a damage increase and increases devil deal chance), will not transfer the stat increases between forms.
Contract From Below) work only when the character holding the item appears after clearing the room.
Steam Sale is not shared between the two.
Dogma + 
The Beast fight, flips happen between each boss, including the Ultra Harbingers.
Birthright: Whichever version of Tainted Lazarus is not active will be available as a "ghost", moving alongside the current Tainted Lazarus like Esau, able to fire tears but immune to taking damage. Both characters receive the Birthright effect when one character collects it.
Damocles can fall and kill the player.
The Nail and then finishes the room, it will become the ghost but will still be able to crush obstacles.
Dr. Fetus.
Lachryphagy, the other form's tears will also be absorbed but the tear will not grow.
Boss Challenge Rooms will require both forms to have 1 HP to enter, instead of only the active one.
The Ladder when bridging a gap.
Buddy in a Box: The familiar changes appearance and tear effects each time the character who has Buddy in a Box is flipped to.
Crown Of Light: In Greed Mode, once damage is taken, and Flip is used twice, the Crown of Light will appear visually to be active, but its effects are still disabled.
D4/
D8/
D100: Rerolls only apply to the form holding the die.
Deep Pockets: Works while either form is active.
Genesis: Resets both forms' items and spawns items based on the total amount of items from both characters. Flip can be used infinitely while inside the room.
Filigree Feather: Defeated angel bosses drop angel room items only for the form carrying Filigree Feather.
Glitched Crown: Only works while the form holding it is active when an item spawns.
Kidney Stone: After switching in form with Kidney Stone, the effect of item will activate immediately.
Lost Soul: If the Lost Soul dies, it will not respawn by switching characters. If it didn't die, going to the next floor with the character that doesn't have Lost Soul will still grant its rewards once the character is active again.
Luna: The beams of light are available for either form to attain.
The Stairway: Will work while either form is active while going down a floor.
Star of Bethlehem: The star only moves while the character holding it is active, effectively making it take twice as long to reach the boss room. Additionally, if that character is inactive when entering the floor, the star will not spawn until that character becomes active, in which case it spawns in the center of the current room.
There's Options: Will still grant two boss items, regardless of who fought the boss.
TMTRAINER: Only generates glitched items if the form holding it is the one to see the item first. This can allow the player to get normal, unglitched items onto the form holding TMTRAINER, and glitched items onto the form without it if desired.
Urn of Souls: Souls cannot be collected by an inactive character. This means that as soon as the room is cleared, all souls still in the air are lost even after you Flip.
Vanishing Twin: The item is shared between both forms.
The Battery: Any extra charges Flip acquires will not be lost when switching to the form without The Battery, allowing you to build up an extra activation, although at a slower than normal pace.
Binge Eater: In a 
Book of the Dead: Bone orbitals and charmed 
Bonies spawned by Book of The Dead carry over through transforming and benefit either form of Tainted Lazarus.
The Body, 
Cancer, and other drastic health increases allow Tainted Lazarus to tank large amounts of damage in longer boss fights if spread between forms.
Cricket's Head or 
Synthoil are useful to get onto Tainted Lazarus's living form early to make up for his damage deficit.
Diplopia and 
Crooked Penny allow for potential duplications of strong items to get on both forms. Though keep in mind that Devil Rooms or Angel Rooms would likely require the form holding them to be active upon entry. Locate the boss room, and if necessary, clear rooms until Flip is charged and you are playing as the form not holding Diplopia or Crooked Penny. Upon defeating the boss, Tainted Lazarus will Flip automatically, allowing the duplication of Devil or Angel Items, followed by flipping and taking the same item on the other form.
Guppy's Paw with a medium to large pool of heart containers can extend the potential time before needing to flip, extending your health bars even further.
Esau Jr.'s body granted by the item has a stronger damage, additional health, and flight. The item can also be given to the other Lazarus by trading it with another active item on a pedestal, performing a flip OUTSIDE the room or a room-clearing flip, and going back to where you left it.
Ipecac without any means of mitigation, making it nearly impossible to play with. It's highly recommended to acquire as close to the start of a new run as possible instead. Since it only has one charge though, switching back to Lazarus shouldn't be difficult in most situations.
Jumper Cables can allow for more use of one form's Active Item, or just more use of Flip.
Red Stew's damage bonus does not decrease when the form holding it is inactive.
Sharp Straw and 
Glass Cannon, can make up tremendously for one form that happens to be lagging behind. The Sharp Straw in particular, due to how it calculates damage, can make the weaker form much more offensively viable during end game boss fights.
Old Capacitor is a great trinket to find. This will effectively turn Flip into a 12-charge item (due to only being active half of the time); however, the increased spawning of Lil Batteries can allow more micromanagement to take place when a floor is finished, flipping between forms as needed.
Watch Battery is a good alternative, or even supplementary trinket to keep on the other form, as it increases chances of finding Lil Batteries as well.
Shoop da Whoop!, 
White Pony, or 
Spider Butt can be recharged within one large room, and can supplement the lack of power Tainted Lazarus is prone to.
Telepathy For Dummies is an extremely beneficial item, as it allows a respective form to have homing tears every room.
Quints is a great choice in Greed mode, because the 5-familiar limit will reset every time Lazarus flips, while the familiars themselves stay. This allows the player to amass a very large amount of familiars. 
Blood Puppy: If it rages, the rage state is retained, which can cause unavoidable damage from it spawning directly on the player when switching forms.
Sprinkler will disappear when a new wave spawns.
Death's List: Bonus reward cannot be granted unless Tainted Lazarus has 
4.5 Volt: While the two versions of Tainted Lazarus normally charge both their active items at the same time, 4.5 Volt will only charge them when the form that holds it deals damage, and will also prevent them from being charged when the other clears a room.
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Lazarus Risen.
XX - Judgement?, which could be read as self-doubt because of how hard is Tainted Lazarus to micromanage, unlike most other characters, but also as the reversal of the Judgement card's meaning on rebirth and second chances, as he no longer has his extra life and Lazarus Risen is now referred to as Dead Lazarus instead.
Bug!
Mausoleum / 
Gehenna's teleporters or 
Stitches) at the same time as the room clears, he will NOT flip between forms.
Spear Of Destiny or 
Trinity Shield, swapping to the other character causes these items to leave a stationary copy of themselves until Tainted Lazarus leaves the room. The stationary spear is only a visual bug with no collision while the stationary shield still blocks tears.
Baby Plum from the 
Plum Flute performs her spray attack and flipping again will cause Baby Plum to be stuck on Tainted Lazarus' position when he flipped.
Judas' Shadow) will immediately kill that character upon revival, ending the run. Having more character-changing revival items will cause the character to die multiple times until there are none left.
Lazarus Unlocks 
Tainted Lazarus Unlocks 
Characters 
The Binding of Isaac: Rebirth
