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Monstro's Lung + Chocolate Milk - A barrage of super high damage tears.
Split shot(can't remember the item name) + Loki's Horns + Cricket's Body + Rubber Cement - Bullets everywhere.
Ipecac + Soy Milk (also obtainable by getting a million damage upgrades and then getting Virgo) - A barrage of explosive shots. Very fun and surprisingly powerful.
Blank Card + Nun's Habit + Lovers' Card/Hierophant - Basically infinite health up until the Womb. Works wonders with blood banks, demon judgements and if you're Samson, you can really up your power immensely for no cost. It WILL work for infinite health on the womb if you can also pick up Maggy's Bow (that's an instant won run there, as each hit essentially heals what you lose).
Bob's brain useless? Random dmg you take? You, my good sir, are very wrong. It is such a strong item, used even to speedrun. Yeah, it is risky, but if you know how to play with it, you'll NEVER get damaged by it.
If it's non-specific, Death's Touch + Sacred Heart + Godhead. Abused the tendency of runs and rerolls trying to give you items recently unlocked ASAP for that one. Even have a pic of it for proof.
Also, to the guy who said that Bob's Brain is useless, it's not. It's just super risky to use, so people often skip it.
Basically a huge circle of light covering more than a half of a normal room.
-A fully-charged shot destroys enemy bullets and doesn't stop.
Monstro's Lung + Ipecac
-You vomit a barrage of explosive shots.
Brimstone/Technology + Ludivico Technique
-AKA "The Bane of All Xbox 360s"
Infestation 2 (The one that spawns spiders after killing enemies) + Dr. Fetus + Inner Eye + A crapton of DMG ups
-Demolish everything in your path with bombs as your spider underlings pick of the remaining forces.