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I don't really feel sorry for cheesing the hell out of it
I litterally just beat The Beast with tainted Isaac with Gnawed Leaf and Dad's Love. I took a shower and cooked my meal while the "fight" was going on =D
Easy. Check stores for birthright and converter (or libraries for jump, but converter is more convenient)
Contact items like spear or virus help immensely
Nevertheless, completed 2nd try. Not an issue.
Ultra Hard has a similar problem. The biggest hurdle is that no hearts drop, but that just makes you completely reliant on RNG to find another way of healing yourself. All you need to win Ultra Hard is Placenta and maybe a Chaos Card for Mega Stan.