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apple is a reference to the mid-stage scene when isaac swallows a candy only to puke it out and realise it was a wrapped up razor
basically all items that make isaac shove something right into his skull are definitely on my list
leprosy, brittle bones, compound fracture and other disease-based items also make up the list
also I've always thought it was a bit creepy to make a 5 year old BOY become pregnant (cambion/immaculate conception)