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- Gives player five bombs
- All bombs gain a Poison effect (similar to IPECAC).
- All explosions will have a Poison cosmetic effect (similar to IPECAC).
- Bob is the first name of Sloth. (?)
- This could be false as Edmund stated that all the Seven Deadly Sins are actually Isaac in one form or another.
- This item may be a reference to the item, Brother Bobby.
- Although the item's sprite has it, the poisoned bombs have no fuse.
- Wrath/Super Wrath are immune to its poison damage.
- Wrath/Super Wrath will have Bob's Curse bombs.
- The Carrion Queen is immune to all poison sources.
- Enemies with multiple hit boxes like segmented foes will have poison applied to each part.
- The poison effect is not applied to all explosions making the cloud cosmetic. All enemy explosions are as such.