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Head of Krampus -- would much rather see lump of coal, but this clears awkward rooms and even kills bosses quickly
Shoop Da Whoop! -- sometimes, it's all you need for that little bit of something extra
You will thank him a lot when fighting these annoying zig zag dodging moving spiders.
Didn't realize how useful this is, especially for the Lost...
Second on Guppy's head — useful early game & late game and so many synergies pump it up. I usually skip the big one-shot boss damage items though... Maybe I need to reconsider them
Nice — I didn't realize any of the remotes are actually useful lol.
Another one I completely underestimated... I just now realized it also opens the Mega Satan door if you want it to. Plus stealing Devil Deal items is awesome. Will start favoring this way more heavily
Some other items I just realized are pretty great:
1. Car Battery — I will pretty much always pick this up... Makes so many items go from good to amazing, from heart generation to Guppy's Head to coin drops.
2. The Wiz — I know most people hate this item, but honestly... I think it's really good. Spectral tears are the best, and hitting most enemies from a diagonal rather than head-on keeps your character much safer. Late game, it starts to get insanely good with high damage / shot speed / mutli-shot synergies.
What!? That's kinda OP.
Blue Baby's Only Friend is basically a weaker Ludo, and can shred early enemies with BFFs.
Speaking of Ludo, too many people hate it. It's an amazing item.
Blood Clot is a great damage up.