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Translate Apr 27 2021 Blood Oath is a passive item added in The Binding of Isaac Repentance. 1 Effects 2 Notes 3 Synergies 4 Interactions 5 Trivia Spawns a familiar that stabs Isaac at the beginning of each floor if Isaac has more than half of a red heart. This will drain as many red hearts as possible without killing him. leaving half a heart red heart if Isaac only had red
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