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Know this though, you NEED Monster Manual and it won't show up again, in Rebirth you don't have to grab the items for them to get out of the item pool, apparently just seeing them counts (Even though I saw Abel twice in the same run, however, it seems that item rooms don't work that way).
My advice would be to take MM and hope for any kind of explosive items, it took me 60 bombs, well over 100 Monster Manual uses, to finally get that damn Meatboy to spawn 4 times, it was hell, however, on another run I had a level 1 Bandage girl, and using MM somehow gave me a level 3 Bandage girl, and that happened while fighting a horseman of the apocalypse so he dropped another Ball of Bandages and I got the achievement all because of one MM use, so it's really a lot of random chance involved.
As anything in Isaac, it's all based in your own luck pretty much, so that's my advice, or you could always try to find another item pedestal and farm it as much as you can.
I'll continue the run tomorrow and i'll see what i can do
I ran into the same situation, but i could reroll an IV Bag often enough to get explosive shots out of it and get the achievements without going any deeper.