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the dlcs are great and offer huge expansions of the game, including floors, enemies, items, endings, bosses, rooms, challenges, even modes! (greed mode)
also if you get afterbirth+ or repentance you unlock mods which are cool (although most mods are already synchronized with repentance over ab+)
there a lot... no...
there TOO MUCH changement on every dlc.
in short:
rebirth is the classic experience. normal difficulty overall
afterbirth is different experience. there q.o.l in it but it make the game a little bit easier
afterbirth + is a different and bad experience.
more q.o.l, bug's, a CANCER of a final boss and the game break it self half the time whit broken synergy like 2 steam sale's and restock or give you unwinnable run do too some item being truly terrible.
repentance is all so different and it peak gaming. hard mod but fair.
fix the mess plus did (minus the cancer), double the content compare too the dlc's AND base game combined. q.o.l in space's, buff for extremely bad items, co-op whit friends coming soon, there mods out the wazoo and G-fuel.
You CAN'T buy a random DLC and call it a day, thinking it will work anyway. WRONG !
EXAMPLE : Afterbirth + needs all the previous DLCs (Base game and Afterbirth).
So for Repentance (the last DLC), you need the base game, Afterbirth and Afterbirth+
The DLCs here doesn't work like classic game where one DLC is unrelated to the other DLCs. Here it work like a chain : you need to buy the previous ones, else the DLC will not work.