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I know, but no matter what item I get, I seem to always fail
The only thing I could say is "learn the enemy patterns", but even that won't save you from BS rooms...
EDIT : Or you can get really lucky and get Dark Bum
Angel rooms in General are good as blue baby because of blue hearts and blue torches to bomb.
Abaddon is good if you wanna go for devil deals, so is maw of the void. Dark bum is 👌
I also prioritize tinted rocks over secret rooms because of health.
Farm restock blue hearts from the shop If possible.
First floor library can give you book of revs/satanic bible/book of sin PLUS bookworm transfo, it's like a weaker version of 20/20 right from the start😉
Good luck.