This item has a 12.6% 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.
Binge Eater: When Isaac picks up Lunch it now grants: a permanent +0.5 Tears and +2.5 Range, 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.
In the original Binding Of Isaac, the dog bowl had the name "Max" carved on it. This is a reference to a dog that Edmund McMillen wanted as a child but never got, in which he wanted to name the dog Max.
Heals 1 additional 
Red Heart.
Beggar in addition to being in the Beggar item pool. Multiple copies can be obtained through this method.
Bag Lunch.
Binge Eater: When Isaac picks up Lunch it now grants: a permanent +0.5 Tears and +2.5 Range, 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.
