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It is worth mentioning that moms projectiles is damaging the summoned enemies so you can focus dodging and hope she takes care of them if it is to hard to shoot them.
Good luck. You'll be pro in no time
1 learn to dodge, the main thing in this battle is avoiding damage and unless you have dry baby there isn't any reason to play things riskly. The less damage you take the longer you last and the more chances you have to win.
2. Positioning, once you have cleared the room of side mobs, position yourself where you can attack the heart and where you can move quickly when the next wave of mobs spawn, I'd usually recommend the side of the room as this gives you the best reaction times for the bullet hell periods.
3. Damage, while it's possible to do this battle with normal tears, just racking up damage clears this battle quickly.
If you want the easiest way to do this battle, there is two.
First using "The Bible" is an instant kill on mom, if you get a bible then save it for this fight, it WILL one hit kill her, just remember to make sure it's charged before entering the battle.
Secondarly Azazel + Tammy's Head, Tammy's Head is normally not a very good item unless you have powerful tears or tear effects and as Azazel has a brimstone like attack (which is powerful).... It can kill Mom's heart in under 5 seconds if you hug the heart while using Tammy's Head.