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I guess Basement is too easy to do that one, so is disabled (maybe it got changed over time). Start the challenge at the Caves.
(Obviously, "half a heart" means "no other health". If you have half a red heart and some soul hearts, you're wasting your time.)
"Convert all"
• When used, turns all pickups and chests in the room into Hearts.
UNLOCK: Unlock this item by defeating any floor after Basement I with only half a heart of health (works as The Lost)
this is what it shows on platinumgod.com, so i dont know either