There is now an option to show a charge bar that floats above Isaac.Ĭoncept art drawn for transformations that would be implemented into the Afterbirth DLC. Many of the Afterbirth transformations override the charge animations of items such as Monstro's Lung and Brimstone, potentially making them more difficult to use. However, this is only true if you unlocked Mom's Contacts on Rebirth, as the Yes Mother? transformation will happen once you collect three Mom items on Afterbirth and Afterbirth †. Since none of the Afterbirth transformations unlock an achievement or item, attaining them is not required for 100% completion of the game in terms of achievements. Transforming into Beelzebub for the first time will unlock the Lord of the Flies achievement and Angry Fly. Transformations can be combined, keeping the effects of all transformations with no effects overriding others. Tainted Isaac will not lose a transformation nor progress towards it if he replaces an item that counts towards that transformation. When playing as Jacob and Esau or Tainted Lazarus only the character that picks up an activated item first gets the progress for related transformations, however both characters in the set may undergo the same transformation if they both collect the remaining required set items left in the item pool. Characters that start with an item that counts towards a transformation do count as one of the three items needed for a transformation, such as Judas starting with The Book of Belial. Pills only count toward Adult and Stompy, they do not count toward progress for any other transformation. Trinkets do not count toward progress for any transformation, with the sole exception of Kid's Drawing that counts for Guppy transformation. Familiars gained from Cambion Conception or Immaculate Conception do not count towards transformation progress. Items acquired by rerolling into them do not count towards any transformations. The transformation will be lost if the items required are rerolled or otherwise lost, eg. Rerolling items with a dice room, the D4, or the D100 will not remove progress towards the transformation. Guppy's Head) can be picked up once and then swapped away with another without any loss to transformation progress. Only the first instance of an item Isaac owns will count. Duplicate items (like those acquired from Diplopia) do not count toward transformations when picked up. Items only need to have been acquired once in order to count. This bum collects any of the other beggars' pickups, and offers twice the rewards. Replaces Bum Friend, Dark Bum, and Key Bum for Super Bum. Taking damage has a chance to spawn rock waves. 
Spawns a spider familiar that applies random status effects to enemies it comes in contact with. Roughly 25% of the time, Isaac shoots an extra tear, like 20/20. Whenever a pile of poop is destroyed, health is replenished by half a heart. Also reduces Damage by 0.3 and slightly decreases Tears. When attacking, the tumor faces shoot tears diagonally outwards, similar to the effect of The Wiz.
Isaac gains a stationary knife that trails directly behind him. Gives +2 damage and +0.15 speed, and spawns a random pill upon transformation. Isaac leaves a trail of green poisonous creep as he walks that deals 6 damage per second. Grants flight and converts small enemy flies into Blue Flies. Grants flight and spawns a Blue Fly each time ( 50% of the time) a tear hits an enemy.
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