This item has a 50% chance to spawn from paying out a Beggar in addition to being in the Beggar item pool. Multiple copies can be obtained through this method.
Synergies
Binge Eater: When Isaac picks up Dessert it now grants: a permanent +1.0 Damage and +0.2 Shot Speed, a temporary +3.6 Damage (which diminishes to 0 in 30 seconds), heals 1 additional red heart, and takes a permanent -0.03 Speed reduction.
Item pedestals can also cycle between the initial item and Dessert due to Binge Eater.
Heals 1 additional 
Red Heart.
Beggar in addition to being in the Beggar item pool. Multiple copies can be obtained through this method.
Binge Eater: When Isaac picks up Dessert it now grants: a permanent +1.0 Damage and +0.2 Shot Speed, a temporary +3.6 Damage (which diminishes to 0 in 30 seconds), heals 1 additional red heart, and takes a permanent -0.03 Speed reduction.
The Binding of Isaac: Rebirth
