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List of things that prevent all kind of progress:
- Seeds (except a few special ones)
- Challenges (except for their reward obviously).
- Daily Runs.
- Reruns and Victory Laps (except for a few specific unlocks).
- Any active mod from the mod menu before Mom is killed once on that save (no matter what they do, other saves are irrelevant).
- Enabling the console before Mom is killed once on that save (even if you don't use it).
- Paranoid antivirus programs (or missing rights) preventing the game from creating/editing its save file.
Note that adding an item to the collection page is indeed considered as progress.
Edit: Did it twice just to be 100% sure and yes, Tonsil doesn't show up on the item list so either this is bugged or something got corrupted within my save files. Not gonna bother any longer then...
Source: https://bindingofisaacrebirth.fandom.com/wiki/Tonsil
Well ok, if that's the case then what is the item in the list next to Big Chubby and Plan C if it's not Tonsil? Because on platinumgod it clearly is Tonsil. Is it another item I can still unlock or does this just stay a ? and I could still get the achievement for all items?
That would be the broken glass cannon, acquired when taking damage while holding repentance's glass cannon!