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In this case you'll need items like:
- Stitches - teleport to specific tile
- How To Jump - make Isaac jump, works with this layout
- Mr. ME - summon a ghost that brings item pedestal to you
- Moving Box - pack up to 10 pedestals or consumables, and unpack in a different room
- Diplopia - duplicate an item, can be used once
- Crooked Penny - same as Diplopia, can be used many times, but there's 50% chance everything in the room will vanish and be replaced with single coin
- Pluto or One makes you small pills to lower your hitbox and pass through the obstacles. Use with caution as you can go OOB and end up in I AM ERROR room
Thank you very much