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Guppy's Paw

PassiveQuality: ****

Converts one red heart container into three soul hearts on use. Part of the Guppy transformation. Excellent for trading health for survivability.

PvE Rating

★★★★★

3/5

Strengths

  • +Three soul hearts per red heart is excellent value.
  • +Part of the Guppy transformation.
  • +Soul hearts protect Devil Room deal eligibility.

Weaknesses

  • -Reduces max red heart capacity permanently.
  • -Cannot be used if you have no red heart containers.
  • -Takes the active item slot, replacing other active items.

Pro Tips

  • 1Convert hearts before entering Womb floors where red hearts are scarce.
  • 2Counts toward Guppy transformation for flight and fly spawning.
  • 3Use in combination with other health-generating items for value.