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Edit:
To be more precise, your latest Heart-related achievement seems to be Experimental Treatment, which is the 7th Heart kill. It Lives is unlocked at the 11th one.
You probably assumed It Lives was unlocked by the "Everything is Terrible" one (5th Heart kill), but that one just makes the game a bit harder. Here's the detail of what it does:
Source: https://bindingofisaacrebirth.fandom.com/wiki/Mom's_Heart#Everything_Is_Terrible!!!_changes
You have to do the first 11 "It Lives" kills without mods, but after the achievement is unlocked, you're free to install anything you please.
unlocked (I dont know if that’s the case for this though)
OP already unlocks things and they are way past that point.
To follow the same format: big downvote. Tries to be helpful but doesn't know anything about the subject.
Guys, come on... Read the whole thread before posting, please.