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https://steamcommunity.com/sharedfiles/filedetails/?id=1521819600
making a pill/card/rune-like item that clearly says it'll use d4 effect would be better if you ask me; otherwise an unknown pill can end your run if you use it near the end and it rerolls into a bad build.
This was a friendly suggestion by the way. I'd actually welcome a mod that adds new pill-like items that trigger all dice effects.