Repentance · passive · #413

Immaculate Conception

Turns heart pickups into permanent angelic familiars over time.

Typepassive
Quality1
Listed pools2
UnlockAchievement #222

In-game pickup line

“Feed them love”

Mechanics

What Immaculate Conception does

  • After Isaac collects enough hearts, an angel familiar and a Soul Heart appear.
  • The process can repeat until five familiars have been granted.

Achievement #222

How to unlock it

Complete Boss Rush as Lilith.

Unlocking an item and finding it during a run are separate steps.

Explore more unlocks

In a run

Practical note

Collect available heart pickups as the run continues to reach the next familiar threshold.

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.