![]() Only one of each type of familiar can be spawned.Lilith can get a second Incubus through this. Lilith starts with this item by default, even if it hasn't been unlocked.Isaac will look progressively more pregnant as he takes damage.As a result, after taking damage 90 times, four out of eight possible familiars will have spawned. The third and fourth familiars will each spawn after taking damage 30 more times. ![]() The first and second familiars will each spawn after taking damage 15 times.Upon taking damage a certain number of times, Isaac gains a permanent demonic familiar. ![]()
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