Hypercoagulation

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(in Repentance and Repentance+)

Hypercoagulation is an unlockable passive item added in The Binding of Isaac: Repentance.

Effects

  • After Isaac takes damage from an enemy or donates health, he drops a Red Heart.pngRed Heart that despawns after 1.5 seconds.
    • The heart dropped depends on the source: half-hearts of damage taken drop Half Red Heart.pngHalf Red Hearts, and full hearts of damage taken drop full hearts.
    • The hearts will get launched out of Isaac with momentum, making them difficult to pick up.
    • If Isaac is firing tears as he gets hit, the heart will get launched in that direction.

Notes

Synergies

  • Ace Cards / Diplopia / D1 / JeraJera: Converted/duplicated hearts will not disappear.
  • Blood Rights / Razor Blade: Damage taken to use the item also spawns hearts, reducing the cost of using them. The first usage of these items each room will spawn a full red heart.
  • Cancer / Percs! pill / The Wafer: Damage sources that spawn full red hearts will still spawn a full red heart despite the cost being reduced to half a heart.
  • Dull Razor: Can be used to spawn full red hearts for Isaac to pick up.
  • Equality!Equality!: As long as Equality is active, all hearts spawned will be doubled and never disappear. Hearts remain on the ground even after the effect is no longer active.
  • Humbleing Bundle: Red Heart.pngRed Heart spawns can be converted to Double Heart.pngDouble Hearts.

Interactions

  • Cambion Conception: By intentionally taking damage with something like a fire and grabbing the half-red hearts, Isaac can easily generate powerful familiars for free.
  • Candy Heart / Immaculate Conception: The hearts will count toward gaining stat boosts/familiars.
  • Compost: The temporary heart will be converted into a Blue Fly/Spider.
  • D20 / GB Bug: Rerolled hearts will still disappear.
  • Daemon's TailDaemon's Tail: Hearts spawned do not turn into keys but simply do not spawn 80% of the time, and the 20% that do spawn will always be Black Heart.pngBlack Hearts.
  • Glass Cannon: Spawns two more full red hearts when Glass Cannon breaks, regardless of how much health was lost to it.
  • Character Keeper icon.pngKeeper / Character Tainted Keeper icon.pngTainted Keeper: Spawns blue flies upon getting hit, essentially granting them the same effect as Infestation.
  • IX - The Hermit?IX - The Hermit?: The heart will not be converted to coins.
  • IV Bag: Doesn't spawn hearts.
  • Maggy's Bow: Doubles the healing received from the hearts spawned.
  • Magneto / Super MagnetSuper Magnet: Will immediately start pulling the dropped hearts to Isaac, breaking their momentum and making collection much easier.

In-game footage

Trivia

  • Hypercoagulation (otherwise known as Thrombophilia) is a medical condition that causes blood clots to spontaneously form in a person’s blood vessels and prevents them from dissolving properly.