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(According to a google search) All Controls are as follows:
-WASD = Movement
-Arrow keys = Shoot direction (also can be mouse controlled on PC)
-Space = Active Item use (and menu confirm)
-Shift or E = Place Bomb
-Q = Use Card/Pill, etc (single use item that takes up pill slot)
-P or ESC = Pause game. While Paused, P resumes game, ESC quits
-M = Music toggle on/off
-F = Fullscreen toggle
-Tab = Hold down, expand Minimap (I haven't gotten this to work, personally)
-R = Holding R Restarts Run
-Left CTRL = Drops trinket (and I assume swaps out active item if you have more than one bc of the backpack item, if that's even in here. I play a lot of Rebirth, so I'm not sure what's included in this version vs what's new to Rebirth/Afb+/etc)
Also I can confirm that this game runs well on Steam Deck, if anyone is considering that.
(again though, it requires keyboard-to-controller keybinds, which thankfully, the Steamdeck already has that capability by default)