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Hurting yourself on the spike gives you a chance to get a consumeable (Keys, Bombs, iron chests, etc.)
PPS: until Afterbirth at least
What Edmund fails to mention is that The puzzle was literally less than 3 hours to being finished. He sees everyone as a bad guy.
Ed said they would be better in Rebirth before it was released.
I think they're like a Running Gag for him.
"Oh they'll be buffed in the remake/expansion" He says laughing as the masses slam their faces into spikes repeatedly.