Items count on pickup
Active items can be picked up and swapped away. In Repentance, duplicate tagged items can add separate counts.
Repentance transformations
Transformation sets
Find every transformation, the pickups that count, and the effect your completed set adds to the run. Special pill routes and Super Bum are included alongside the game-file item tags.
15Transformations
12Tagged sets
3Special recipes
Before you build a set
How transformation progress works
Some routes use pills
Adult comes from three Puberty uses. Stompy accepts size-up counts from two items and One Makes You Larger.
Repentance rules
This reference targets Repentance 1.7.9b. Repentance+ changes some memberships and adds Necromancer.
Transformations can be combined. If required items are rerolled or otherwise removed in Repentance, the linked transformation can also be lost.
What counts toward progress?
Check active swaps, duplicates, pill uses, held trinkets and reroll risks through fifteen illustrated examples.
Transformation progress guide →Search every set
Transformation database
15 of 15 transformations
Filter by benefit
8 options3 Guppy pieces
Guppy
Gain flight and turn successful tear hits into a steady source of Blue Flies.
FlightOffense
View requirements 
24 options3 fly-tagged items
Beelzebub
Gain flight, convert small enemy flies, and make larger fly enemies friendly.
FlightOffenseFamiliar
View requirements 
10 options3 mushroom-tagged items
Fun Guy
Complete the mushroom set to receive an extra Red Heart container.
Health
View requirements 
17 options3 angel-tagged items
Seraphim
Complete an angel set to gain flight and three Soul Hearts.
FlightHealthDefense
View requirements 
4 options3 Bob-tagged items
Bob
Leave poisonous green creep behind and become immune to poison.
OffenseDefense
View requirements 
8 options3 syringe-tagged items
Spun
Receive a direct damage and speed boost, plus a random pill.
OffenseUtility
View requirements 
21 options3 Mom-tagged items
Yes Mother?
Gain a trailing Mom's Knife that deals contact damage behind Isaac.
Offense
View requirements 
31 options3 baby-tagged familiars
Conjoined
Add two diagonal firing sources alongside Isaac's ordinary forward shots.
OffenseFamiliar
View requirements 
11 options3 devil-tagged items
Leviathan
Complete a devil set to gain flight and two Black Hearts.
FlightHealthDefense
View requirements 
10 options3 poop-tagged items
Oh Crap
Destroy poop piles to recover Red Heart health.
HealthUtility
View requirements 
15 options3 book items
Bookworm
Gain a fixed chance to fire a second full-damage tear.
Offense
View requirements 1 route
Use Puberty 3 times
Adult
Repeated Puberty pills award an extra Red Heart container.
Health
View requirements 
16 options3 spider-tagged items
Spider Baby
Gain a contact familiar that applies random status effects to enemies.
OffenseFamiliar
View requirements 
3 options3 size-up counts
Stompy
Grow larger, crush obstacles by walking over them, and create rock waves after some hits.
OffenseUtility
View requirements 
3 optionsAll 3 bum familiars
Super Bum
Fuse the three bum familiars into one collector with doubled Repentance rewards.
UtilityFamiliar
View requirements Item membership is generated from the Repentance item tags and player-form definitions in the extracted game files. Effects and exceptions are reviewed against the maintained Repentance reference. No API route, database, or runtime request is used.