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D6 gives the Shop re-roll (for Chaos and/or Restock), and the reroll on the off-chance for the Secret Room pedestal.
It might be worth trading in the D6 for either the D20 or Blank Card if you want to try to break the game and get it that way.
Take everything that might give you more rerolls (batteries generation items, Sharp Plug etc), make items spawn in the secret rooms and reroll them.
So basicaly, save up the cards that make a beggar/blood donation machine spawns in order to use them.
I'm not sure if it's still doable, since I haven't play as Isaac in a while, but you can also save all the items that teleport you out of the secret room. If you find Greed in one, kill him first, don't clean the rest of the room and get out. Repeat as long as you can. You might be abble to spawn several Steam Sale in the same room before rerolling them.
In the same time, keep an eye open for Pandora's box in the Shops.
Edit : Maybe not the quickest way to do it, but quick enough and definitely the less tedious.
Both times I got the Gullet, I had Chaos and got it in a Shop. First time, I just got lucky. Second time, I broke the game with Restock + Double Steam Sale, got Chaos after about 10 items, then found the Gullet around 20 items later.
Barring Eden, Isaac in Greed Mode is your best bet. Just hunt down Chaos. Start a game and go to the Shop. If no Chaos, use D6. If still no Chaos, restart. Once you find Chaos, you'll just have to hope that the Gullet is somewhere in the seed, and constatnly re-roll the Shop.
http://steamcommunity.com/sharedfiles/filedetails/?id=857231836
The real nightmare is when you need to find active items that don't appear in greed mode item pools since apparently even Chaos can't bring them into greed mode. The last item I needed for my collection was an active item in the Angel Room. I eventually decided to aim for one of two combos: Dr. Fetus + Party Bombs + Sack Boy (infinite batteries) or Wafer + Sharp Plug (can use active item without a charge at the cost of 1/2 heart.) Once you have a combo, find an angel room, bomb the angel statue and defeat it to get the key drop, then reroll until you find the item you're looking for. I probably reset 200 times before I found Dr. Fetus in treasure room adjacent to the starting room, and ended up finding Wafer and Sharp Plug later anyway. And then the next angel room I found gave me the item I'd been looking for for 2 weeks on my first reroll.
Always use Isaac when hunting for items since he starts with the D6.
It took me 2 weeks to find Delirious, so hopefully it doesn't take you that long to find Greed's Gullet.