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In comparison to the base game, the IPECAC Community Mod Modifies many items, enemies and mechanics previously existent. Here is a categorized list of them.
Bosses[ | ]
Horsemen items[ | ]
In addition to their usual drops, The Harbringers have unique drops. While not exclusive from them, each Horseman has one item that can be dropped from it instead of their usual rewards. These items are equally as likely to appear as the Horseman's other items, and, if said Horseman can drop either a Cube of Meat or a Ball of Bandages and the player already has at least one of either, it'll be dropped instead.
- Famine: Drops Starvation.
- Pestilence: (WIP)
- War: (WIP)
- Death: Drops Death's Sacrifice.
- Conquest: Drops Divine Vengence.
- Headless Horseman: Drops Beheading.
Challenges[ | ]
No changes to Challenges were made yet
Transformations[ | ]
Characters[ | ]
Apollyon
His active item, Void, uses -2 less charges. If you had unlocked the Locust of Void achievement, he will start with that trinket too.
Eve
Has a chance to start the run with the related trinkets: The Egg, Crow Heart, Eve Bird's Foot, or Black Feather. When Eve gets hit, instead of 1 Dead Bird being triggered, 2 Dead Birds are triggered.
Isaac
Holds the Missing Poster if you unlocked the "Isaac starts with missing poster" achievement.
Magdalene
Her damage is proportional to how much red hearts she has. Every half red heart gives her a .125 (estimated as 1.3 for the game) damage boost. This allows her to get a .88 damage boost from the start (7 [half red hearts from start] x .125 [damage from every half red hearts] = .875 [approximate to .88].
Judas
Starts out with Judas' Tongue if you unlocked the "Judas Starts with his tongue" achievement.
Lilith
Her active item, Box of Friends, uses -2 less charges.
??? (Blue Baby)
Starts out with ???'s Soul if you unlocked the "??? Starts with his soul" achievement.
Items[ | ]
Holy Water[ | ]
Creep size and damage scale with Isaac's Faith.
Trinity Shield[ | ]
Size is scaled with Isaac's Faith.
Match Book[ | ]
Increases the spawn rate of bombs, scaling with Isaac's Evil.
Shade[ | ]
Inflicts Fear.
Damage scales with Isaac's Evil.
Safety Pin[ | ]
Shot speed increase scales with Isaac's Evil.
Sulfuric Acid[ | ]
Inflicts burning on regular enemies.
Stonies and Grimaces are instantly killed by Sulfuric Acid tears.
Lil Gish[ | ]
Leaves a trail of black slowing creep.
Stem Cells[ | ]
Now drops the trinket Stem Cell.
Dead Bird[ | ]
On pickup, may drop:
Eve's Bird Foot
Crow Heart
Black Feather
Monsters[ | ]
Mr. Mine[ | ]
Has a unique sprite when out of the Flooded Caves -- Though this occurs on every floor, it is only ever seen naturally in the Womb, Utero and Scarred Womb.
Objects[ | ]
Mom's Dressing Table[ | ]
For each dressing table destroyed, the player is inflicted with -0.77 Luck. This is intended to counteract the benefits of blowing them up by linking it to a long-term disadvantage. When destroyed, the dressing table now also has a chance to drop the trinket Mirror Shard.
Pickups[ | ]
Trinkets[ | ]
Achievements[ | ]
Miscellaneous[ | ]
- Black tar creep (Like from Ball of Tar, or the above Little Gish change) now sets on fire from explosions and from being close to a lit Fireplace. This fire does damage to enemies.