In-game pickup line
“Your stomach rumbles”
Mechanics
What IBS does
- After enough damage dealt, Isaac flashes; releasing the fire button triggers the stored effect.
- The result can be a thrown poop, helpful creep, a poison cloud, or several live bombs.
Achievement #588
How to unlock it
Defeat Delirium as Tainted ??? (Blue Baby).
Unlocking an item and finding it during a run are separate steps.
Explore more unlocksIn a run
Practical note
Leave room to dodge when releasing fire because the bomb result can be hazardous.
Reference
Game data and sources
The item ID, quality and pool listings, icon, game-file tags, and short pickup line come from the extracted Repentance files. This effect explanation is an editorial summary checked against the references below. Repentance+ can differ.
