View table: transformation

+1 Red Heart container.

Grants flight. Converts small enemy flies into Blue Flies. Larger flies become friendly and follow Isaac between rooms.

Isaac leaves a trail of green poisonous creep as he walks that deals 6 damage per second.

Roughly 25% of the time, Isaac shoots an extra tear, like 20/20.

Adds two tumors that fire diagonally from Isaac's head. -0.3 Damage, -0.3 Tears.

+1 Red Heart Container.

Grants flight and spawns a Blue Fly each time a tear hits an enemy.
Grants flight and adds a 66% chance to spawn a Blue Fly when a tear hits an enemy.

Grants flight and gives +2 Black Hearts.

Whenever a pile of poop is destroyed, restores half of a red heart.

Grants flight and gives +3 Soul Hearts.

Spawns a spider familiar that applies random status effects to enemies it comes in contact with.

Gives +2 damage and +0.15 speed, and spawns a random pill upon transformation.

Taking damage has a chance to spawn rock waves. Isaac can break obstacles by walking over them.

Replaces Bum Friend, Dark Bum, and Key Bum with Super Bum. This bum collects any of the other beggars' pickups, and offers twice the rewards.

Isaac gains a stationary knife that trails directly behind him. It synergizes like Mom's Knife would.