The tears stat on the HUD now displays as “tears per second” (previously displayed delay between tears in frames).

New, less intrusive effects have been added for them.

Black hearts no longer pause the game with an animation when lost.

The item tracker now includes a “mini” option, allowing for more items to be displayed at once.

Adjusted the appearance rate of many special rooms to be more balanced (the black poop super secret room is now rarer, for example).

The spikes are either moved away from the door or blocked off.

Rooms with spikes directly next to the entrance have been adjusted.

Rooms with portal enemies now only appear in The Void.

Small boss rooms and small miniboss rooms have been disabled.

Challenge room waves are now randomized, and each floor features unique waves (previously they were shared for every alt floor in a chapter).

Greed Mode now features floor alts (Burning Basement, Necropolis, etc).

If played with multiple characters, bosses will drop multiple items.

Coop can now be played with multiple, separate characters instead of babies.

The Binding of Isaac Repentance Patch Notes

Binding of isaac era walk