While playing as The Lost due to using the White Fireplace, the pill turns into a Health Up too, regardless of your red heart containers. ? can encounter Health Down pills, even though he can't have red heart containers, but they'll still remove a soul heart. While Isaac has one or fewer red heart containers, it will act as a Health Up pill instead. Removes one red heart container upon use. Spawns five active bombs behind Isaac over a period of five seconds, at one a second. The number of bombs and keys is increased by 50% while swapping. The effects of Golden Bombs and Golden Keys are also swapped. Swaps the values of Isaac's Bombs and Keys. If Isaac would not survive, the pill becomes Full Health. This doesn't count as damage for the purposes of Devil Room/ Angel Room generation odds or score reduction. If a Bad Trip pill is used while Isaac only has a single heart left or less, the pill will turn into a Full Health pill instead. Isaac farts, dealing 5 damage and poisoning enemies around him.
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