In-game pickup line
“Wish granted”
Mechanics
What Monkey Paw does
- A hit that brings health down to the last half heart can spawn a Black Heart.
- After producing three Black Hearts, the trinket disappears.
In a run
Practical note
It is a last-resort buffer, so do not spend health simply to force its limited charges.
Reference
Game data and sources
The trinket ID, 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.
