Pyromaniac
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This article is about the explosion immunity item. For the item that grants bombs, see Pyro.
Pyromaniac is a passive item.
Effects
- +5
Bombs. - All explosions heal Isaac instead of damaging him. If Isaac has no Red Heart containers or full health, no damage is taken.
Explosions heal one full Red Heart.
Explosions heal one half Red Heart.
- Grants immunity to damage from
Fire Places or enemy fires, but does not heal Isaac.
- It does not protect the player from taking damage from fire projectiles or the
White Fire Place in 
Downpour II.
- It does not protect the player from taking damage from fire projectiles or the
Notes
- Pyromaniac is a Special Item.
- Makes the player immune to
Mom's, 
Satan's, and other enemies' stomp attacks, making those fights substantially less difficult.
- Due to the immunity to Mom's stomping attack,
Mom's Toenail has improved usefulness.
- Due to the immunity to Mom's stomping attack,
- Makes the player immune to
The Cage's, 
The Adversary's, 
Mega Satan's, and 
Ultra Greedier's rock wave attack. - Makes the player immune to fires left behind by enemies and their hot bombs, as well as projectiles from
Red Fire Places and 
Purple Fire Places, but not the fireplaces themselves. - The item is unable to produce
Soul Hearts, 
Black Hearts, or 
Eternal Hearts, making Pyromaniac a little less effective if used with 
???, 
Black Judas, 
Tainted Judas, 
The Lost, 
Tainted Forgotten, or 
Tainted Bethany. However, these characters still gain immunity to explosions, with 
Tainted ??? benefiting the most out of all. - Ultra Greedier uses explosive attacks almost exclusively. As a result, Pyromaniac makes characters nearly invulnerable against him except for his rock waves.
- Makes Isaac immune to the lake of fire in the fight against
The Beast, but not to her fire inhalation attack. - One of only two items that grant full immunity to explosive damage, the other being
Host Hat.
Synergies
Anarchist Cookbook: Spawned bombs can be used for mass healing.-
Blood Bombs: If the player has run out of bombs, they can spend half a heart to drop a bomb and recover it by getting caught in the explosion (it won't work on characters that can't obtain red health).
- This allows Isaac to infinitely damage himself for items such as
Fanny Pack.
- This allows Isaac to infinitely damage himself for items such as
-
Bomber Boy: Heals Isaac multiple times per bomb depending on the number of explosions that hit him. -
Curse of the Tower: Whenever Isaac gets hit, numerous healing troll bombs fill the room, nullifying nearly any red heart damage taken. 
Dr. Fetus / 
Epic Fetus / 
Ipecac: Explosions heal Isaac, essentially making him invincible as long as he has more than one red heart container and a decent rate of fire.
Kamikaze!: Provides an unlimited source of explosions which will heal.-
Tainted Magdalene: Explosions heal a full 
Red Heart again. -
Walnut: Walnut will only require 1-5 explosions to open. As Isaac is immune to explosions, he can safely open Walnut without taking any damage.
In-game Footage
Trivia
- This item is used in Blue Bomber (challenge #23).
- Pyromania is an impulse control disorder in which individuals repeatedly fail to resist impulses to deliberately start fires.
Bombs 
 The Binding of Isaac: Rebirth
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