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The Binding Of Isaac Repentance : Quality 4 Items

Can you name every TBOI:R item which is Quality 4?
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PeppyPenguin
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Last updated: September 13, 2022
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First submittedJuly 14, 2022
Times taken638
Average score78.6%
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Hint
Answer
Gives 1 Black Heart +
Replaces boss room item with a devil deal
Satanic Bible
Rerolls all items in the current room into different items
D6
Fires a lazer similar to Mega Satan’s for 15 seconds
Mega Blast
Causes 1+ Copies of Mom’s foot to stomp on Isaac +
Can be used to create Mom’s shovel
Broken Shovel
Acts as any die and can be cycled by pressing the drop key
D Infinity
Creates a trapdoor to the next floor +
Unlocks the forgotten if used on a mound of dirt in “Dark Room”
Mom’s Shovel
Consumes the rooms pedestal items + Active item effects added
+ Passives items give random stat upgrades
Void
Destroys all items in the room +
gives a unique locust familiar for each item destroyed
Abyss
Holds 8 pickups which can be used to create an item
Bag Of Crafting
Takes Isaac to an expanded version of “Home” with one of every item
+ when an item is picked, returns to the room it was used
Death Certificate
Item pedestals have a ghostly item, when used this becomes the main item +
Switches between Tainted Lazarus and Dead Tainted Lazarus
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Hint
Answer
Makes Isaac huge for 30 seconds +
increases damage, range, and size, and gives invincibility
Mega Mush
Brings Isaac to the 1st floor of a new run whilst keeping all his items
R Key
Transforms all items by decreasing their ID number
Spindown Dice
Fires 2 tears at once + 0,75x damage multiplier
20/20
Tears are replaced by a lazer beam which pierces through enemies and obstacles
Brimstone
Increases damage by 0.5 + gives a 1.5x damage multiplier
Cricket’s Head
Tears are replaced by bombs
Dr. Fetus
Tears are replaced by guided missiles
Epic Fetus
Homing tears + a halo +
+0.5 Damage, -0.3 Tears, and -0.3 Shot Speed.
Godhead
Negates 1st damage taken in every room
Holy Mantle
Spawns a blue spider every time an enemy is killed
Infestation 2
Hint
Answer
Replaces tears with poison projectiles
Ipecac
Makes Isaac bigger + restores all health +
+1 Red Heart Container, +0.3 Damage, x1.5 damage multiplier, +1.5 range, +0.3 speed
Magic Mushroom
Replaces tears with a knife which passes through enemies and obstacles
Mom’s Knife
Huge tears with much higher damage but a lower fire rate
Polyphemus
Tears start off large with high damage but shrink over a short range
Proptosis
Immunity to explosions and fire + bombs heal Isaac + +5 bombs
Pyromaniac
+1 Red Heart Container + homing tears +
x2.3 Damage multiplier, +1 flat Damage, -0.4 Tears, and -0.25 Shot Speed
Sacred Heart
Slows down all enemies in a room to 80% speed
Stop Watch
All damage taken is reduced to half a heart
The Wafer
+2 Soul Hearts While Isaac has no empty red hearts, grants 2x damage + +1.50 range, and -0.3 shot speed + Whenever Isaac takes damage, the effect is deactivated for the room
Crown Of Light
Hint
Answer
Familiar that shoots tears identical to Isaac’s
Incubus
After firing for 2.5 seconds, creates a black ring around Isaac that deals damage
Maw Of The Void
Tears are replaced with laser rings
Tech X
No effect + one of two items needed to create Mom’s Shovel
Broken Shovel
+1 Red Heart Container + fully heals Isaac +Item pedestals also have a random food item + Picking up food temporarily gives +3.6 damage and permanently boosts 2 stats
Binge Eater
Replaces tears with fetuses
C Section
Item pedestals cycle between 5 random items
Glitched Crown
Spawns a fly orbital familiar that chases and deflects shots and converts them into homing tears + Turns some flies into friendly ones if it touches them
Psy Fly
Flight + 2 Soul Hearts + Holy Laser
Revelation
Spawns 2 familiars that fire tears with Isaac’s stats
Twisted Pair
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