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The other reason these items are chosen over some others (notice, no black candle) is because of the following things they do not do:
no followers or orbitals
no items that drop stuff (when you get hit, etc)
no stat changing
no tear (or bomb) changers
no damage reduction
no space item charging modifiers
no "moral" changers (devil or angel room chance... which is why no black candle as it increases devil room chance)
and if you were so willing to make a mod that just had these start items and nothing else I would love you forever!