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Death Certificate

ActiveQuality: ****

Teleports the player to a special floor containing every item in the game. Choose any single item for free. Single use only.

PvE Rating

★★★★★

5/5

Strengths

  • +Access to literally every item in the game.
  • +Guarantees the exact item you need for your build.
  • +Single most impactful active item in the game.

Weaknesses

  • -Single use only; cannot be used again.
  • -Extremely rare; almost impossible to find normally.
  • -Requires game knowledge to choose the best item.

Pro Tips

  • 1Pick the item that best completes your current build.
  • 2Sacred Heart, Brimstone, or Mom's Knife are common top picks.
  • 3Since it's single use, make your choice count.