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People who get death won't be on the forum complaining.
Pain. In. The. ass. to get either of the 4 parts legit. Better to go for those 2 ASAP the MOMENT you unlock the horsemen and before you unlock Conquest/headless. Fred is still ♥♥♥♥♥♥♥ Fred.
1- You need HP regen NOT linked to mob help.
So you either need placenta with a LOT and a LOT of time or a bomb tear/pyromaniac combo. No farming explosive mobs with pryomaniac or goblins (meatmen) with Charm of the Vampire or the followers you spawn with MM will just kill them.
2- An item charger.
Sharp plug or Habit. No choices and if you go for the Habit you need a damage source like fire or spikes.
3- Monster Manual
Then spam the ever living hell out of MM till you RNG the cube/ball 4 times without leaving the room. This can take a while but doable if your PC can take all those followers and both can be got at once. Problems with this combo are just getting all items in the same run and parying to what god/s you have that you don't get ♥♥♥♥♥♥ by RNG. Helps to restart till you get pyromaniac.
You can also force the game to give you this combo. Just get the HP regen (mob help can be used for this), item charger, a spare item, and a way to "seed" 2 rooms with a number of any pickups each. Then roll an item with the D6 till you get the D20 and roll the seeded rooms till you seed them with 2+ items (the more the faster you go) from gold/stone chests. Go back to the D6 and roll till you get the combo. BUT, if you get MM before the D20 the run has failed and MAKE CERTAIN you seed at LEAST 2 rooms to account for getting the MM early after getting the D20 and not having a way to roll its room without loosing MM.