Intermediate Unlocks

The Necronomicon

Loki's Horns

Mr. Mega

The Small Rock

The Book of Sin

Butter Bean

Head of Krampus

Little Steven

Steven

Little C.H.A.D.

Little Gish

Scissors

The Halo

Super Bandage

Guppy's Hair Ball

The Parasite

Mom's Contacts

Little Baggy

While you're doing your 11 Mom's Heart kills, you might want to pay attention to these achievements. Most of these will unlock naturally as you play the game, but you might find it to your advantage to unlock them sooner.Use Death tarot card four times. Not necessarily during one run.Active item. Deals moderate damage to every enemy in the room. Best used in big rooms. Usable every six rooms.Defeat. Lokii is the double (split) Lokii found in the Womb, andthe regular Loki found in the Depths.Passive item. Your character now has a chance to shoot in all four cardinal directions.Blow up 10 tinted rocks. Tinted rocks are rocks which appear randomly on the floor and have a small "X" engraved on them. On the Basement, those rocks are also of a different shade. You can use bombs or a "stompy" item such as Leo to destroy them.Passive item. Grants you 5 bombs and gives all of your bombs stronger explosions and bigger blast radius.Destroy 100 tinted rocks.Passive item. Increases your damage. You can get this item randomly after blowing up a tinted rock.Beat each of the seven sins (Greed, Wrath, Sloth, Lust, Pride, Gluttony, Envy) at least once. As you can't influence when these will appear, it might take a while until you unlock this item, however it will usually happen fairly quickly.Active item. Spawns a random pickup item (bombs, hearts, keys, coins...) on use. Usable every four rooms.Destroy 100 poops. (Shoot tears in their general direction). Very easy to acquire if you complete challenge #12 ("When Life Gives You Lemons") and get A Card Against Humanity card which fills up the room with poop. Use it on a large room, preferably as Azazel or with a stompy item, and knock yourself off.Active item. Knocks enemies away (similar to the farting enemies in Basement). Usable every four seconds.First, make 20 deals with the devil. To maximize your devil deal chances, don't take red heart damage on the floor prior to fighting the boss (taking soul heart and black heart damage is okay). Krampus will appear randomly in one of your next Devil Rooms. He has a 50% chance to drop this item.Active item. Fires a powerful Brimstone laser in all four cardinal directions. Usable every third room.Beat Basement 40 times. After that, Steven will randomly appear as a boss on one of the Basement floors. Killing him will yield you either this item or the Steven item.Passive item. A familiar which shoots homing tears.Beat Basement 40 times. After that, Steven will randomly appear as a boss on one of the Basement floors. Killing him will yield you either this item or the Little Steven item.Passive item. Damage up.(Little CHAD)Beat Caves 30 times. After that, C.H.A.D. will randomly appear as a boss on one of the Caves floors. Defeating him will yield you this item. It can also be found in item rooms after that.Passive item. Drops half-red-hearts every few rooms.Beat the Depths 20 times. After that, Gish will randomly appear as a bos on Depths I. Defeating him will yield you this item. It can also be found in item rooms after that.Passive item. A familiar which shoots slowing tears.Die 100 times.Active item. Separates your character's head and body. You control the body and fire tears from both your body and your head. Usable every 6 rooms.Use The Bible (active item) during the Mom fight.Passive item. Increases all of your stats.Build a Bandage Girl by collecting four Balls of Bandages. As Ball of Bandages has a 50% chance to drop from any horseman, you need to be somewhat lucky to complete this. Having Book of Revelations from the start is strongly recommended to ensure that you fight a horseman every set of floors.Passive item. Grants you a health up and two soul hearts.(Guppy's Hairball)Become Guppy. Pick up any three of the following items: Dead Cat, Guppy's Collar, Guppy's Head, Guppy's Paw, Guppy's Tail (you just need to touch the active items, no need to keep them with you). This will grant you flight and you will spawn kamikaze flies that do twice your damage every time you or your familiar hit with a tear, essentially tripling your damage.Passive item. It's a flail that you can swing around yourself to damage enemies. It also blocks tears and grows in size as you kill stuff with it, and its size is reset at the beginning of each floor.In one run, have two of these items at once: Bob's Rotten Head, Tammy's Head, Dead Cat, Cricket's Head. Bob's Rotten Head and Dead Cat are fairly common items, so unlocking this should not be hard. Dead Cat is commonly found in red chests and devil rooms and Bob's Rotten Head can be found in item rooms and secret rooms.Passive item. It makes your tears split after they hit a target.In one run, hold any three "Mom" items at once (items starting with "Mom's...")Passive item. Your character has a chance to shoot a tear which freezes enemies on contact for a brief period of time.In one run, have two of these items at once: Roid Rage, The Virus, Growth Hormones, Experimental Treatment, Speed Ball (the syringes, minus Synthoil). The Virus can drop from Lust, and the rest can be found in Boss Trap Rooms, as drops from bosses or in the item room.Passive item. Enables you to hold two pills and disables card drops.