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I'd be cool if there was a Potato-Peeler Like Item that spawned minisaacs and a tears/damage/both up.
is that an old change?
I haven't played this mod personally, but I remember seeing a run on youtube with this mod a month or two ago where these hearts were seen in the shop
no, you can still get them in game if you happen to see them in the shop with pound of flesh item in your inventory
I just explained the way I got spike-priced minisaac hearts in my case, since I thought this is what you were asking