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....Or it could be completely random and I got extremely lucky.
Source: http://bindingofisaac.wikia.com/wiki/Devil_Room
Basically, the Took no red heart damage confirms what pretty much everyone else said
If you beat a boss and there's no Devil's Room, if you manage to get the Goat Head in the same level, it will force a Devil's Room door to appear in the boss room.
Source : Wikia or Gamepedia, whatever and my own gameplay.
Try The Seed KFKN YMED. At The First Caves You Get An Joker. Use The Joker And You Will Spawn In A Devil Deal Room With 3 Items. Then Just Kill Yourself
This post is almost 2 years old dude...
Edit: One year, sorry I can't count.