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http://bindingofisaacrebirth.gamepedia.com/3_Dollar_Bill
http://bindingofisaacrebirth.gamepedia.com/Fruit_Cake
The bill changes every 3 seconds if you have AB (same for the rainbow worm trinket), and can only get effects from Rebirth.
The cake changes each tear individually and has a longer list of possible effects, including some trinkets and AB+ effects (if you have this DLC).
I prefer the cake. But if you can, take both. :D
the thing you need to avoid is the random firemind shot with 3 dollar bill and the random ipecac shot on the fruit cake. all that being said I finally beat the ultra hard challenge only because I got fruit cake and pyromaniac on the first level so I could heal by shooting walls with the random ipecac shot so I wouldnt say they are terrible