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Gimpy (so you're drowning in extra hearts to turn into clots), Little CHAD (same), Sacred Heart (because base damage can eat a censored and I'll probably never unlock Godhead), BFFs (boosts both), Bumbo (no other items means not much use for coins, although that's always true post-Womb anyway). Bonus points if you can get Mom's Locket as a trinket to turn all those half hearts into full ones.
If I were making it a custom challenge (and crowdsourcing custom challenge ideas is what this sort of topic is for) I'd add the key pieces and make the target Mega Satan, because this loadout melts even him. I'm talking from experience here; even with the damage scaling Repentance granted him, Sacred Heart and the zillions of clots I had by that point were enough that he ended up doing an impression of The Haunt because I was reaching the summon thresholds before he could do anything.
Elite RGB gaming baby.
other than that, dunce cap + tech zero (bonus for almond milk lol)