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Not finished and worse than before... yea... sure...
OP, you should probably just look at all the patch notes and decide yourself. Almost everything got fixed (and of course every bug that was ruining the game, like crashes/softlocks), a lot got changed in a good way (tho some may say that it became worse, like echo chamber "nerf"), even some of the worst new characters jumped straight to the top of the list after rework
Mostly Delirium rework and some new content that Kilburn wants to add is left, maybe we'll get it this year, lol
The rest of the unlocks like Flip, Sumptorium, Bag of Crafting and C-Section were finished alongside Birthright effects. Three completely new DMG up items in boss rooms.
Challenges and Mother don't crash under common circumstances anymore.
Daily Runs and their achievements work again.
Tainted Lazarus has been revamped to be engaging and enjoyable.
Black Markets, Restock Machines, The Emperor? and The Moon? cards finally fixed.
There have been some losses or changes people might not agree with. I don't think they do all that much but if you have to get angry at something:
Echo Chamber and the D1 were nerfed.
Tainted Isaac and Genesis exploits don't work anymore.
Tainted Cain recipes are now randomized instead tied to the seed (you can still generate your recipes with EID or an external site).
Tainted Eve clots' health now slowly expire to 1 health, requires Sumptorium usage to refresh their health.
Dark Esau absolutely can't be cheesed anymore, and also can't be killed. Can block projectiles now while dealing considerable contact damage to enemies providing a new interesting playstyle.
T.Jacob and T.Laz are fun now. Well, i did like the idea of strategically killing Dark Esau, but T.Jacob is still more fun now. T.Laz is really strong too, only because "Flip" has been implemented properly, so he didn't even needed a re-work. "C-Section" is also implemented and like Flip, absolutely broken (in a good way). Edit: And everybody has a unique Birthright-effect now. There also some minor balance tweaks, mostly for the better, though.
T.Apollyon is still not fully implemented and T.Lost is still "RNG - The Character". Devil Deals are also still pretty bad and almost never worth going for. But those are due to an overhaul. Same for Deli and Greedier. Pills are also still a waste of content w/o synergy, but i don't think, they'll ever get buffed.
"Beast", or more accurately, side-scrolling sections, still have some weird interactions, like Ocular Rift, which may result in unavoidable damage. Speaking of which, that is still very much a thing (more so on HM) and should be planned for, not even if your OP, but especially if you are. Enemy/Bullet visibility can become a big problem, once you're loaded with tear-effect.
https://twitter.com/edmundmcmillen/status/1479365574329188353?s=19