Repentance · Pill effects
Hematemesis
Sets your filled red health to one heart and drops one to four Red Hearts.
Neutral pill symbol: colors are assigned to effects per run.
HealingDangerous
Normal pill effect
Sets your filled red health to one heart and drops one to four Red Hearts.
Before you use it
At half a heart it restores you to one instead. Pick up the drops promptly if you need the healing.
Large pill variant
Horse pill effect
Drops four to seven Red Hearts after the health adjustment.
Within a run, the horse pill uses the same color-to-effect assignment as the regular pill. The larger version is not always just double the normal effect.
See original pill colors and unlocks