How you get here
Continue after Mom once the Womb route is unlocked.
Prepare before the checkpoint
- Ordinary hits generally cost a full heart here; protection and damage-reduction exceptions still matter.
- Regular Shops and Treasure Rooms do not naturally appear. Item effects such as Silver Dollar and Bloody Crown can add them.
- Preserve health for the finale rather than expecting another normal shop to repair the build.
Related item rules: route tools and exceptions mentioned in this guide. Read each effect before relying on it.
The Wafer
Silver Dollar
Bloody CrownCheckpoint and exit
Womb II normally ends with Mom's Heart or It Lives!, depending on progression. The Hush entrance has a standard 30-minute deadline.
Available beams, trapdoors and timed doors depend on progression and route conditions. Check the destination before taking the ending chest.
Random boss pools by variant
These counts come from the supplied boss-pool data. Pool membership and weight do not guarantee an encounter; fixed finales use route rules.
Womb: 6 listed entries
Utero: 5 listed entries
Scarred Womb: 7 listed entries
Enemies worth recognizing
Learn the attack cue before entering a crowded room. These are selected preparation references for this floor family, rather than a complete spawn list.
Double VisA Vis variant that fires a laser from both sides.
Red GhostA teleporting ghost that replaces Wizoob shots with a laser.
BoilA stationary growth that shrinks under damage and swells again.
LeechA flying charger that commits when you share a row or column.
SuckerA slow pursuing fly with a four-way death burst.
Round WormA burrowing shooter that changes the origin of its next shot.