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In your Documents/My Games/Binding of Isaac Repentance folder there is a file called options.ini under all your save data. This location is separate from the resources folder where steam would direct you so you'd have to find this.
In that you can edit options.ini as a notepad document and find options like enabling game size, mouse control and even debug console. Entering EnableDebugConole=1 instead of a 0 makes it so that in game pressing the tilde key (~) opens the debug console.