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The workshop is only for AB+ and its mod menu.
If modders put non-AB+ mods on the workshop and don't explain properly how to install them, it's their problem.
If the explanation is actually here and the player doesn't read it, it's their problem.
Anyway, to be sure, if you consider modding on Rebirth/Afterbirth, moddingofisaac.com is the place to go. Make sure you read the help page.
The mods are saved to:
C:\Steam\steamapps\workshop\content\250900
Copy the contents (you don't need to copy the file named metadata), and paste into your resources folder, like you would do for manually installing any other mod. Check some of the mods on the website Nazemec listed for detailed instructions on how to install mods. It's the same for pretty much every mod.