False PHD

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(in Repentance and Repentance+)

False PHD is a passive item added in The Binding of Isaac: Repentance.

Effects

  • Identifies all pills upon pickup.
  • Spawns a pill.
  • Grants one Black Heart.pngBlack Heart on pickup.
  • Converts all good pills into their bad counterparts.
  • Grants +0.6 damage for each stat down pill and +1.2 damage for each stat down horse pill Isaac has taken, including those taken before acquiring False PHD.
  • Using a non-stat down bad pill drops a Black Heart.pngBlack Heart.
Pill Changes Into
Stat up pill Stat down pill
Bad Gas & Friends Till the End! Health Down
I can see forever! & Lemon Party Amnesia
Explosive Diarrhea & One makes you larger Range Down
Bombs are Key & Infested! Tears Down
48 Hour Energy & One makes you small Speed Down
Pretty Fly & Infested? Luck Down
Balls of Steel, Full Health, & Hematemesis Bad Trip
Pheromones Paralysis
Telepills ???
I'm Drowsy... I'm Excited!!!
Percs! Addicted!
Feels Like I'm Walking on Sunshine! Retro Vision
Power Pill! R U A Wizard?
Something's wrong... X-Lax
Gulp! & Vurp! Horf!
Experimental Pill Only grants a stat down
Gold Pill Only has negative effects
Neutral pills
I Found Pills
Puberty
Re-Lax

Notes

  • Bad Trip and Health Down pills will turn into I Found Pills when Isaac is at one heart.
  • Neutral pills will not have a secondary effect.
  • Telepills will be converted to ??? even if the latter has not yet been unlocked.
  • Gulp! and Vurp! will be converted to Horf! even if the latter has not yet been unlocked.
  • Pills are only converted while held by a character with False PHD. For example: If playing as Character Jacob and Esau icon.pngJacob and Esau and Character Jacob icon.pngJacob has this item, pills that got converted into 'bad' pills like a Tears Down pill can be given to Character Esau icon.pngEsau to convert them back into whatever the pill was originally.
  • Losing the item by either dropping it as Character Tainted Isaac icon.pngTainted Isaac or re-rolling it via Collectible D4 icon.pngD4, etc., causes the damage buffs given to be removed.
  • With Collectible Little Baggy icon.pngLittle Baggy and False PHD, the Marked Skull in DepthsDepths II will drop a ??? pill, making it much harder to open A Strange Door A Strange Door that run.
  • This item can be crafted from Collectible Bag of Crafting icon.pngBag of Crafting with seven pills and one Black Heart.pngBlack Heart.

Synergies

  • Collectible A Pony icon.pngA Pony/Collectible White Pony icon.pngWhite Pony: Effectively converts all Speed Down pills into Damage Up as long as one of the ponies are being held, since they will always give a minimum of 1.5 speed.
  • Black FeatherBlack Feather: Counts as an evil item, granting a damage up.
  • Collectible Lucky Foot icon.pngLucky Foot / Collectible PHD icon.pngPHD / Collectible Virgo icon.pngVirgo: Pills can now be both good and bad again. The other effects of False PHD still apply when taking bad pills.
    • Getting multiple of the pill-upgrading items has no effect, bad pills can still appear.
  • Collectible The Wafer icon.pngThe Wafer: Using a Bad Trip pill will only deal half a heart of damage and spawn a full Black Heart, resulting in a net gain of health.
    • The Wafer + Collectible Placebo icon.pngPlacebo: Allows for farming infinite health using Bad Trip pills.
  • Collectible Rock Bottom icon.pngRock Bottom: Prevents stat-decreasing pills from decreasing your current stats. They still have an effect in the background, making it more difficult to raise that stat in the future.

Interactions

  • Collectible Libra icon.pngLibra: The balancing of stats mostly leads to a net decrease between Stat Downs and +0.6 damage up, while Luck Down provides +0.6 damage and -1 luck.

In-game Footage