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https://bindingofisaacrebirth.fandom.com/wiki/Host_Hat
sometimes its safer to just take half a heart of damage rather than dealing with the swarm that cornered you.
its still not very good but i dont think its completely useless.
185 damage in a large radius is good
0.5 hearts is cheap
Since it's not technically a self-damaging item, there are many ways to use it for free
Synergizes with bomb upgrades
Synergizes with items that do stuff when you take damage
Very solid and fun active item with multiple ways to use it. The only downsides are that it doesn't work with Car Battery and becomes worse on Womb (unless you have Wafer or only use it when you have invincibility).
You can also use it if you get hit by the swarm - immunity frames will protect you from explosion damage