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His poop spawns a blue fly, so if you pile them all up in the same room and break them all before fighting the boss, you can do a good chunk of damage with all of the extra flies. You can also blow up his poops to use as a bridge across 1-tile gaps like you can with normal rocks.
He can't take red heart damage, so it's easy to get angel/devil deals with him. His devil deals in repentance are discounted from 3 hearts, and instead cost as many soul hearts as they would red hearts with other characters.