BeyondThe D6"Dropping choices"Passive item
Acquiring a passive item drops Isaac's oldest passive on the ground alongside a new item from the current room's item pool. One of them may be picked up. That effect may occur once per room.

Does not affect quest items.
Costs 40¢ when found in a Shop.
Costs 2 Heart Containers when found in a Devil Deal, or 40¢ in an Angel Shop.
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Download the Beyond mod for The Binding of Isaac