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Special Items= If you get a special item in a run, it will get harder to find another one. Meaning, if you find a Brimstone, it'll be much harder to find Mom's Knife in the same run.
Or if you're not sure, make one with mods, and show it to the devs, and if it is cool, it will be added the next month in the game.
I'm looking at you Heartstone...